Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Metropolitan Physician group LLC/Dr. Shivani Narasimhan at Fairmont
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
849 FAIRMOUNT AVE STE 100B, TOWSON, MD 21286-2600
(410) 235-1168
(410) 235-1277
Mailing address
849 FAIRMOUNT AVE STE 100B, TOWSON, MD 21286-2600
(410) 235-1168
(410) 235-1277
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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