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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Potomac Professionals at Mt Airy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
504 E RIDGEVILLE BLVD STE 110, MOUNT AIRY, MD 21771-5942
(301) 846-0300
(410) 601-4938
Mailing address
504 E RIDGEVILLE BLVD STE 110, MOUNT AIRY, MD 21771-5942
(301) 846-0300
(410) 601-4938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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