Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

University of Maryland Community Medical Group, Inc

Organization Family Medicine Physician · NPI 1396536140

University of Maryland Community Medical Group, Inc provides Family Medicine Physician services in Glen Burnie, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 Hospital Dr Ste 108
Glen Burnie, MD 21061-5801
Phone: (410) 757-4675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1396536140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Senior Vice President · (410) 337-1602
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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