Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Suburban Physicians Group LLC D/B/A Dr. Russell Schub at North Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
2850 N RIDGE RD, ELLICOTT CITY, MD 21043-3464
(410) 730-1000
(410) 730-2266
Mailing address
2850 N RIDGE RD # ASC, ELLICOTT CITY, MD 21043-3464
(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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