Organization
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN NICHOLSON (AO)
(410) 337-1602
Entity
Organization
Contact information
Practice address
305 HOSPITAL DRIVE, STE 304, GLEN BURNIE, MD 21061-5862
(410) 553-8146
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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