# LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeBridge Community Gastroenterology LLC at Quarterfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508668377
- **Authorized official:** MARY REBECCA WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 7704 QUARTERFIELD RD STE A, GLEN BURNIE, MD 21061-4412
- **Practice address phone:** (410) 602-7782
- **Practice address fax:** (410) 602-9344
- **Mailing address:** 7704 QUARTERFIELD RD STE A, GLEN BURNIE, MD 21061-4412
- **Mailing address phone:** (410) 602-7782
- **Mailing address fax:** (410) 602-9344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 03/25/2025