Organization
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN NICHOLSON CPA (SENIOR VICE PRESIDENT - CHIEF FINAN)
(410) 822-1000
Entity
Organization
Contact information
Practice address
821 N EUTAW ST, BALTIMORE, MD 21201-4648
(443) 552-2900
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KQ62
UNSPECIFIED
MD
Enumeration date
12/29/2005
Last updated
10/21/2025
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