# LIFEBRIDGE COMMUNITY PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFEBRIDGE COMMUNITY PHYSICIANS, INC
- **Other names:** Drs Mez, Tan & Sarante
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902161847
- **Legal business name:** LIFEBRIDGE COMMUNITY PHYSICIANS, INC
- **Authorized official:** MS. BRIAN CAWLEY (VICE PRESIDENT)
- **Authorized official phone:** (410) 701-4439

## Contact information

- **Practice address:** 1645 LIBERTY RD, SUITE 204, ELDERSBURG, MD 21784-6521
- **Practice address phone:** (410) 795-7737
- **Practice address fax:** (410) 795-2828
- **Mailing address:** 1645 LIBERTY RD, SUITE 204, ELDERSBURG, MD 21784-6521
- **Mailing address phone:** (410) 795-7737
- **Mailing address fax:** (410) 795-2828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 01/21/2013