| University Of Maryland Community Medical Group, Inc. | |
|
11340 Pembrooke Sq Ste 203 Waldorf MD 20603-4808 | |
| (301) 396-2024 | |
| Not Available |
| Full Name | University Of Maryland Community Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11340 Pembrooke Sq Ste 203, Waldorf, Maryland |
| Authorized Official Name and Position | Paul Stephen Nicholson (AO) |
| Authorized Official Contact | 4103371602 |
| 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: () - | University Of Maryland Community Medical Group, Inc. 11340 Pembrooke Sq Ste 203 Waldorf MD 20603-4808 Ph: (301) 396-2024 |
| NPI Number | 1437904984 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437904984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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