| Lifebridge Community Physicians Inc | |
|
2434 W Belvedere Ave Baltimore MD 21215-5267 | |
| (410) 601-9355 | |
| (410) 601-4458 |
| Full Name | Lifebridge Community Physicians Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2434 W Belvedere Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Mary Rebecca Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4436238926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Community Physicians Inc 2434 W Belvedere Ave Baltimore MD 21215-5267 Ph: (410) 601-9355 | Lifebridge Community Physicians Inc 2434 W Belvedere Ave Baltimore MD 21215-5267 Ph: (410) 601-9355 |
| NPI Number | 1497476451 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497476451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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