University of Maryland St. Joseph Medical Group, LLC
Organization Active NPI General Practice Physician · Towson, MD
NPI 1780431692 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1780431692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
- Practice address
- 7505 Osler Dr Ste 101
Towson, MD 21204-7737 - Phone
- (410) 427-2580
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Thomas Smyth
- Title
- President and Ceo
- Phone
- (410) 328-1376
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- University of Maryland St Joseph Medical Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
7505 Osler Dr Ste 101
Towson, MD 21204-7737
Mailing address
900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Other names
- UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP
Other providers in Towson, MD
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
- University of Maryland St. Joseph Medical Group, LLC
All providers in Towson, MD · General Practice Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.