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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Active
Other names
LifeBridge Suburban Physician Group LLCdba Dr Alexander Bogdaschewskyi
Organization subpart
No

Provider details

NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization

Contact information

Practice address
1011 BALTIMORE BLVD, DR ALEXANDER BOGDASCHEWSKYI, WESTMINSTER, MD 21157-7055
(410) 848-8256
(410) 848-5950
Mailing address
1011 BALTIMORE BLVD, DR ALEXANDER BOGDASCHEWSKYI, WESTMINSTER, MD 21157-7055
(410) 848-8256
(410) 848-5950

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD

Other

Enumeration date
09/16/2013
Last updated
08/27/2021
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