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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Health Primary Care of Baltimore
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
711 W 40TH ST STE 212A, BALTIMORE, MD 21211-2108
(410) 601-0071
(410) 601-0290
Mailing address
711 W 40TH ST STE 212A, BALTIMORE, MD 21211-2108
(410) 601-0071
(410) 601-0290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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