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 1902653231

University of Maryland Community Medical Group, Inc provides Family Medicine Physician services in Waldorf, 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

12070 Old Line Ctr
Waldorf, MD 20602-2513
Phone: (301) 645-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1902653231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Senior Vice President - Chief Finan · (410) 337-1602
NPI enumeratedMay 3, 2024
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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