Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Other names
LifeBridge Metropolitan Physician Grap, LLC/DBA/Dr. Shivani Narasimhan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY R WRIGHT-SISK MD (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
711 W. 40TH STREET, SUITE 212A, BALTIMORE, MD 21211
(202) 270-0099
Mailing address
711 W. 40TH STREET, SUITE 212A, BALTIMORE, MD 21211
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D60351
MD
Other
Enumeration date
09/05/2018
Last updated
08/27/2021
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