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
1838 GREENE TREE RD, PIKESVILLE, MD 21208-6391
(410) 427-2024
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
04/17/2024
Last updated
04/17/2024
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