Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR, COMMUNITY PHYSICIAN ENTER)
(443) 422-9941
Entity
Organization
Contact information
Practice address
940 MADISON AVENUE FIRST FLOOR, BALTIMORE, MD 27201
(410) 383-4135
(410) 383-4830
Mailing address
940 MADISON AVENUE FIRST FLOOR, BALTIMORE, MD 27201
(410) 383-4135
(410) 383-4830
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0037343
MD
Other
Enumeration date
08/07/2018
Last updated
08/27/2021
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