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

University of Maryland Community Medical Group, Inc

Organization Family Medicine Physician · NPI 1417703109

University of Maryland Community Medical Group, Inc provides Family Medicine Physician services in Glen Burnie, Maryland. Registered with an NPI since 2024.

In the registry since
2024
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

300 Hospital Dr Ste 227
Glen Burnie, MD 21061-5707
Phone: (410) 553-8085
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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

Record details

NPI number1417703109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Ao · (410) 337-1602
NPI enumeratedApril 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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