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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Active
Parent organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Other names
Drs Mez, Tan & Sarante
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Authorized official
MS. BRIAN CAWLEY (VICE PRESIDENT)
(410) 701-4439
Entity
Organization

Contact information

Practice address
1645 LIBERTY RD, SUITE 204, ELDERSBURG, MD 21784-6521
(410) 795-7737
(410) 795-2828
Mailing address
1645 LIBERTY RD, SUITE 204, ELDERSBURG, MD 21784-6521
(410) 795-7737
(410) 795-2828

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/06/2012
Last updated
01/21/2013
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