Organization
UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
Active
Other names
UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN NICHOLSON (AO)
(410) 337-1602
Entity
Organization
Contact information
Practice address
100 WEST RD STE 115, TOWSON, MD 21204-2358
(410) 494-0144
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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