Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Health Primary Care at Old Court
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-4211
(410) 521-0627
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-4211
(410) 521-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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