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University of Maryland Community Medical Group, Inc.

Organization Active NPI Family Medicine Physician · Glen Burnie, MD

NPI 1174370530 · NPPES record last updated May 3, 2024

Key facts

NPI
1174370530
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Practice address
301 Hospital Drive
Suite 802
Glen Burnie, MD 21061-5803
Phone
(410) 553-8290
NPI assigned
May 3, 2024
Organization subpart
No

Authorized official

Name
Paul Stephen Nicholson
Title
Ao
Phone
(410) 337-1602

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
University of Maryland Community Medical Group Inc (171 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

301 Hospital Drive
Suite 802
Glen Burnie, MD 21061-5803

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924

Other providers in Glen Burnie, MD

All providers in Glen Burnie, MD · Family Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.