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Organization
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
Active
Organization
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
Active
Other names
LifeBridge Community Gastroenterology LLC at Belvedere
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 602-7782
(410) 602-9344
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 602-7782
(410) 602-9344
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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