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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS INC

Active
Other names
LifeBridge Suburban Physicians Group LLC D/B/A Dr. Russell Schub at Cedar
Organization subpart
No

Provider details

NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 730-1000
(410) 730-2266
Mailing address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 730-1000
(410) 730-2266

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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