Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
Drs. Gouel, Blotney and Sullivan at York
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
7620 YORK RD, BALTIMORE, MD 21204-7508
(410) 583-6800
(410) 583-5259
Mailing address
7620 YORK RD, BALTIMORE, MD 21204-7508
(410) 583-6800
(410) 583-5259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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