Organization
LIFEBRIDGE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY R WRIGHT-SISK M.D. (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
8114 SANDPIPER CIR, SUITE 206, NOTTINGHAM, MD 21236-4934
(410) 933-4923
(410) 933-8659
Mailing address
8114 SANDPIPER CIR, SUITE 206, NOTTINGHAM, MD 21236-4934
(410) 933-4923
(410) 933-8659
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
R204261
MD
Other
Enumeration date
03/25/2016
Last updated
08/27/2021
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