MEDICARE: UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1326874108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	PO BOX 62063
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-2063
Country	:	US
Telephone Number	:	410-706-5181
Fax Number	:	410-706-5103

Provider Business Practice Location Address
First Line	:	7505 OSLER DR
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-7736
Country	:	US
Telephone Number	:	667-214-2880
Fax Number	:	410-337-0425

Authorized Official
Title or Position	:	DIRECTOR OF PROFESSIONAL FEES
Name	:	MARGIE OLLER BURR
Credential	:
Telephone Number	:	410-706-5181

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	04/17/2026

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