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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS INC

Active
Other names
LifeBridge Potomac Professionals at Mt Airy
Organization subpart
No

Provider details

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

Contact information

Practice address
504 E RIDGEVILLE BLVD STE 110, MOUNT AIRY, MD 21771-5942
(301) 846-0300
(410) 601-4938
Mailing address
504 E RIDGEVILLE BLVD STE 110, MOUNT AIRY, MD 21771-5942
(301) 846-0300
(410) 601-4938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/14/2025
Last updated
05/14/2025
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