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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Active
Other names
LifeBridge Endocrinology Assocaites
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
5450 KNOLL NORTH DR STE 100, COLUMBIA, MD 21045-2366
(410) 368-1370
Mailing address
5450 KNOLL NORTH DR STE 100, COLUMBIA, MD 21045-2366
(410) 601-1800
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
11/09/2021
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