Organization
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
Active
Other names
Woodholme Gastroenterology at Westminster
Organization subpart
No
Provider details
NPI number
Authorized official
CARY MILLER (CREDENTIALING ANALYST)
(410) 871-6831
Entity
Organization
Contact information
Practice address
535 OLD WESTMINSTER PIKE STE 104, WESTMINSTER, MD 21157-6267
(410) 602-7782
(410) 602-9344
Mailing address
535 OLD WESTMINSTER PIKE STE 104, WESTMINSTER, MD 21157-6267
(410) 602-7782
(410) 602-9344
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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