Organization
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN NICHOLSON (SENIOR VICE PRESIDENT)
(410) 337-1602
Entity
Organization
Contact information
Practice address
103 CENTENNIAL ST STE C, LA PLATA, MD 20646-5985
(301) 609-4846
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
02/13/2026
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