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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Other names
Drs Gouel, Blotny and Sullivan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY R WRIGHT-SISK (VICE PRESIDENT)
(443) 422-9941
Entity
Organization
Contact information
Practice address
1205 YORK RD, SUITE 18, LUTHERVILLE, MD 21093-6210
(410) 583-6800
(410) 583-5259
Mailing address
1205 YORK RD, SUITE 18, LUTHERVILLE, MD 21093-6210
(410) 583-6800
(410) 583-5259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MD
Other
Enumeration date
05/01/2012
Last updated
08/27/2021
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