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Organization

UNIVERSITY OF MARYLAND PHYSICIANS P.A.

Active
Other names
UNIVERSITY OF MARYLAND MEDICAL GROUP - CARDIOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM KAUFMAN (DIRECTOR OF PROFESSIONAL FEES)
(410) 328-8040
Entity
Organization

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8040
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(410) 328-0248

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0344609-06
DC
05
1689623175
DE
05
1689623175
MT
05
3810001951
WV
01
4005765
BLUE CROSS/BLUE SHIELD
TN
05
761101300
MD
05
8183201
NJ
Enumeration date
05/10/2006
Last updated
12/16/2024
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