# LIFEBRIDGE COMMUNITY PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeBridge Suburban Physician Group LLCdba Dr Alexander Bogdaschewskyi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093141616
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 1011 BALTIMORE BLVD, DR ALEXANDER BOGDASCHEWSKYI, WESTMINSTER, MD 21157-7055
- **Practice address phone:** (410) 848-8256
- **Practice address fax:** (410) 848-5950
- **Mailing address:** 1011 BALTIMORE BLVD, DR ALEXANDER BOGDASCHEWSKYI, WESTMINSTER, MD 21157-7055
- **Mailing address phone:** (410) 848-8256
- **Mailing address fax:** (410) 848-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MD | Yes |

## Other

- **Enumeration date:** 09/16/2013
- **Last updated:** 08/27/2021