Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Health ENT, Sinus & Allergy Center at Old Court
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 623-8926
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(443) 289-3459
(443) 289-3488
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(443) 289-3459
(443) 289-3488
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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