Organization
LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR OF PHYSICIAN ENTERPRISE)
(443) 422-9941
Entity
Organization
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
535 OLD WESTMINSTER PIKE STE 102, WESTMINSTER, MD 21157-6269
(410) 871-6831
(410) 871-6325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
08/31/2021
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