Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Active
Other names
Dr. Anisa Mirza
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
849 FAIRMONT AVENUE, SUITE 100B, TOWSON, MD 21286-2600
(410) 469-4981
(410) 469-4983
Mailing address
849 FAIRMONT AVENUE, SUITE 100B, TOWSON, MD 21286-2600
(410) 469-4981
(410) 469-4983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
08/27/2021
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