Organization
LIFEBRIDGE HEALTH AND FITNESS LLC
Active
Parent organization
LIFEBRIDGE HEALTH & FITNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE HEALTH & FITNESS LLC
Authorized official
MR. JARED FAJERSKI (EXECUTIVE DIRECTOR)
(410) 318-6816
Entity
Organization
Contact information
Practice address
1836 GREENE TREE RD, BALTIMORE, MD 21208-1381
(410) 484-6800
Mailing address
1836 GREENE TREE RD, BALTIMORE, MD 21208-1381
(410) 484-6800
(410) 484-6804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/25/2007
Last updated
09/12/2013
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