Organization
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Active
Parent organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION
Authorized official
PAUL STEPHEN NICHOLSON (SENIOR VICE PRESIDENT - CHIEF FINAN)
(410) 337-1602
Entity
Organization
Contact information
Practice address
522 IDLEWILD AVE, EASTON, MD 21601-3824
(410) 820-4888
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
05/22/2024
Last updated
05/22/2024
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