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Organization

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL STEPHEN NICHOLSON (VICE PRESIDENT)
(410) 337-1602
Entity
Organization

Contact information

Practice address
5900 WATERLOO RD STE 120, COLUMBIA, MD 21045-2636
(667) 214-2300
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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