| Lifebridge Community Gastroenterology, Llc | |
|
535 Old Westminster Pike Ste 104 Westminster MD 21157-6267 | |
| (410) 602-7782 | |
| (410) 602-9344 |
| Full Name | Lifebridge Community Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 535 Old Westminster Pike Ste 104, Westminster, Maryland |
| Authorized Official Name and Position | Cary Miller (CREDENTIALING ANALYST) |
| Authorized Official Contact | 4108716831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Community Gastroenterology, Llc 535 Old Westminster Pike Ste 104 Westminster MD 21157-6267 Ph: (410) 602-7782 | Lifebridge Community Gastroenterology, Llc 535 Old Westminster Pike Ste 104 Westminster MD 21157-6267 Ph: (410) 602-7782 |
| NPI Number | 1972321461 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972321461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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