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Organization
LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Active
Organization
LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Active
Parent organization
LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Other names
Village Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Authorized official
MARY R WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
1 E UNIVERSITY PKWY UNIT 109, BALTIMORE, MD 21218-2432
(410) 235-1601
(410) 467-6881
Mailing address
535 OLD WESTMINSTER PIKE STE 102, WESTMINSTER, MD 21157-6269
(410) 871-6831
(410) 871-6325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
08/31/2021
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