# LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodholme Gastroenterology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033558416
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (410) 701-4547

## Contact information

- **Practice address:** 1838 GREENE TREE RD, SUITE 400, PIKESVILLE, MD 21208-6391
- **Practice address phone:** (410) 602-7782
- **Practice address fax:** (410) 602-9344
- **Mailing address:** 1838 GREENE TREE RD, SUITE 400, PIKESVILLE, MD 21208-6391
- **Mailing address phone:** (410) 602-7782
- **Mailing address fax:** (410) 602-9344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 10/25/2013