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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Active
Other names
Dr Vincent Giminaro
Organization subpart
No

Provider details

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

Contact information

Practice address
2012 S TOLLGATE RD, SUITE 111, BEL AIR, MD 21015-5900
(410) 569-4144
(410) 569-4147
Mailing address
2012 S TOLLGATE RD, SUITE 111, BEL AIR, MD 21015-5900
(410) 569-4144
(410) 569-4147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD
207RP1001X
Pulmonary Disease Physician
MD

Other

Enumeration date
12/01/2014
Last updated
08/27/2021
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