| University Of Maryland Community Medical Group, Inc. | |
|
301 Hospital Dr Glen Burnie MD 21061-5803 | |
| (410) 787-4000 | |
| Not Available |
| Full Name | University Of Maryland Community Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 301 Hospital Dr, Glen Burnie, Maryland |
| Authorized Official Name and Position | Paul Stephen Nicholson (CFO) |
| Authorized Official Contact | 4108221000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Community Medical Group, Inc. 900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 Ph: (443) 462-5010 | University Of Maryland Community Medical Group, Inc. 301 Hospital Dr Glen Burnie MD 21061-5803 Ph: (410) 787-4000 |
| NPI Number | 1912407222 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912407222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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