Organization
LIFEBRIDGE GYNECOLOGY OF PIKESVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(410) 521-2200
Entity
Organization
Contact information
Practice address
4000 OLD COURT RD, SUITE 301, PIKESVILLE, MD 21208-2800
(410) 653-0000
(410) 653-5531
Mailing address
4000 OLD COURT RD, SUITE 301, PIKESVILLE, MD 21208-2800
(410) 653-0000
(410) 653-5531
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
MD
Other
Enumeration date
09/02/2014
Last updated
03/18/2020
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