Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Other names
Dr Jonathan Safren
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
4801 DORSEY HALL DR, SUITE 220, ELLICOTT CITY, MD 21042-7766
(410) 469-4904
Mailing address
4801 DORSEY HALL DR, SUITE 220, ELLICOTT CITY, MD 21042-7766
(410) 469-4904
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MD
Other
Enumeration date
08/15/2013
Last updated
08/27/2021
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