University Of Maryland St. Joseph Medical Group, LLC
General Practice in Bel Air, MD. Organization (NPI-2).
NPI number1124875950
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1124875950
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Maryland St. Joseph Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Other names
- University Of Maryland St. Joseph Medical Group (Doing Business As)
Practice location
520 Upper Chesapeake Dr Ste 303Bel Air, MD 21014-4375
Phone 443-337-1387
Mailing address
900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Authorized official
Thomas Smyth
President And Ceo
4103281376
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