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Organization

LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC

Active
Other names
Woodholme Gastroenterology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(410) 701-4547
Entity
Organization

Contact information

Practice address
1838 GREENE TREE RD, SUITE 400, PIKESVILLE, MD 21208-6391
(410) 602-7782
(410) 602-9344
Mailing address
1838 GREENE TREE RD, SUITE 400, PIKESVILLE, MD 21208-6391
(410) 602-7782
(410) 602-9344

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
06/19/2013
Last updated
10/25/2013
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