Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Cardiology of Belvedere, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
2411 W BELVEDERE AVE, SUITE 401, BALTIMORE, MD 21215-5228
(410) 601-9355
Mailing address
2411 W BELVEDERE AVE, SUITE 401, BALTIMORE, MD 21215-5228
(410) 601-9355
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
MD
Other
Enumeration date
09/11/2013
Last updated
08/27/2021
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