# LIFEBRIDGE COMMUNITY PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeBridge Cardiology of Belvedere, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952736886
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 2411 W BELVEDERE AVE, SUITE 401, BALTIMORE, MD 21215-5228
- **Practice address phone:** (410) 601-9355
- **Mailing address:** 2411 W BELVEDERE AVE, SUITE 401, BALTIMORE, MD 21215-5228
- **Mailing address phone:** (410) 601-9355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | MD | Yes |

## Other

- **Enumeration date:** 09/11/2013
- **Last updated:** 08/27/2021