Healthcare Provider Details
I. General information
NPI: 1508849639
Provider Name (Legal Business Name): UNIVERSITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2005
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BUILDING 140 UNIVERSITY OF MARYLAND
COLLEGE PARK MD
20742-0001
US
IV. Provider business mailing address
3983 CAMPUS DRIVE BUILDING 140
COLLEGE PARK MD
20742-0001
US
V. Phone/Fax
- Phone: 301-314-8117
- Fax: 301-314-7845
- Phone: 301-314-8117
- Fax: 301-314-7845
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SPYRIDON
MARINOPOULOS
Title or Position: DIRECTOR
Credential: MD
Phone: 301-314-8117