Lifebridge Community Physicians Inc | |
2434 W Belvedere Ave Baltimore MD 21215-5267 | |
(410) 601-9355 | |
Not Available |
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 | 1871237206 |
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Provider Enumeration Date | 04/22/2022 |
Last Update Date | 04/22/2022 |
Certification Date | 04/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871237206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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