Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

University of Maryland Community Medical Group, Inc

Organization Family Medicine Physician · NPI 1679373468

University of Maryland Community Medical Group, Inc is a Family Medicine Physician 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

1417 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone: (410) 768-6600
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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 number1679373468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Senior Vice President · (410) 337-1602
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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