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Organization
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
Active
Organization
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
Active
Parent organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Other names
Dr. Naomi Shaikh
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Authorized official
MARY R. WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
1405 MADISON PARK DR, SUITE 1, GLEN BURNIE, MD 21061-5627
(410) 582-9434
Mailing address
1405 MADISON PARK DR, SUITE 1, GLEN BURNIE, MD 21061-5627
(410) 582-9434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
08/31/2021
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