Organization
LIFEBRIDGE MULTI-SPECIALTY. LLC
Active
Other names
Clinical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(410) 521-2200
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, TOWSON, MD 21286-5466
(410) 296-5300
(410) 494-1302
Mailing address
515 FAIRMOUNT AVE, TOWSON, MD 21286-5466
(410) 296-5300
(410) 494-1302
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
MD
207Q00000X
Family Medicine Physician
—
MD
207R00000X
Internal Medicine Physician
Primary
—
MD
207W00000X
Ophthalmology Physician
—
MD
207Y00000X
Otolaryngology Physician
—
MD
207ZD0900X
Dermatopathology (Pathology) Physician
—
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
MD
208600000X
Surgery Physician
—
MD
208800000X
Urology Physician
—
MD
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up