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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
Drs. Goule, Blotney and Sullivan at Charles
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(410) 583-6800
(410) 583-5259
Mailing address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(410) 583-6800
(410) 583-5259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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