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NPI Code Detail

MEDICARE: UNIVERSITY OF MARYLAND PHYSICIANS P.A.

MEDICARE: UNIVERSITY OF MARYLAND PHYSICIANS P.A.
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
1207RI0008XHepatology Physician
2207RG0100XGastroenterology Physician

General Provider Information

NPI Number : 1679362818
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF MARYLAND PHYSICIANS P.A.
Provider Business Mailing Address
First Line : PO BOX 64442
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4442
Country : US
Telephone Number : 410-328-8040
Fax Number : 410-328-9191
Provider Business Practice Location Address
First Line : 3450 OLD WASHINGTON RD STE 202
Second Line :
City : WALDORF
State : MD
Zip : 20602-3250
Country : US
Telephone Number : 240-607-2010
Fax Number : 240-607-2655
Authorized Official
Title or Position : DIRECTOR OF PROFESSIONAL FEES
Name : ADAM KAUFMAN
Credential :
Telephone Number : 410-328-8040
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/05/2025

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Directions to “UNIVERSITY OF MARYLAND PHYSICIANS P.A. ” Practice Location

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