1174330419 NPI number — UNIVERSITY OF MARYLAND PHYSICIANS, P.A.

Table of content: (NPI 1174330419)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174330419 NPI number — UNIVERSITY OF MARYLAND PHYSICIANS, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174330419
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 64442
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21264-4442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-328-8040
Provider Business Mailing Address Fax Number:
410-328-9191

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
515 FAIRMOUNT AVE STE 500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21286-8502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-832-3400
Provider Business Practice Location Address Fax Number:
410-494-1718
Provider Enumeration Date:
12/11/2024

Additional Information

Authorized Official

Authorized Official Last Name:
KAUFMAN
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OR PROFESSIONAL FEES
Authorized Official Telephone Number:
410-328-8040

Provider Taxonomy Codes

  • Taxonomy code: 207RC0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RS0012X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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