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 1790535805

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

203 Hospital Dr Ste 312
Glen Burnie, MD 21061-6906
Phone: (410) 787-4291
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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 number1790535805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Ao · (410) 337-1602
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 23, 2024
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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