Organization
LIFEBRIDGE COMMUNITY PHYSICIANS
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS
Active
Other names
LifeBridge Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5973
(410) 521-7669
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5973
(410) 521-7669
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
MD
207RP1001X
Pulmonary Disease Physician
—
MD
Other
Enumeration date
09/03/2014
Last updated
08/27/2021
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