| Lifebridge Health Medical Group | |
|
1401 Pulaski Hwy Suite M Edgewood MD 21040-1398 | |
| (410) 671-9241 | |
| (410) 671-9242 |
| Full Name | Lifebridge Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Pulaski Hwy, Edgewood, Maryland |
| Authorized Official Name and Position | Mary R Wright-sisk (VICE PRESIDENT) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Health Medical Group 1401 Pulaski Hwy Suite M Edgewood MD 21040-1398 Ph: (410) 671-9241 | Lifebridge Health Medical Group 1401 Pulaski Hwy Suite M Edgewood MD 21040-1398 Ph: (410) 671-9241 |
| NPI Number | 1346513538 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346513538 | NPI | - | NPPES |
| 970084600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0068088 (Maryland) | Primary |
Quadmed Management, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Trimble Rd, Edgewood, MD 21040 Phone: 844-708-4822 | |
Hchd Edgewood Elementary 1396978417 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Cedar Dr, Edgewood, MD 21040 Phone: 410-877-1033 Fax: 410-420-3435 | |
West Cecil Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1319 Woodbridge Station Way, Edgewood, MD 21040 Phone: 410-378-9696 Fax: 410-378-0787 | |
Infinite Medical Express Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Pulaski Hwy Ste W, Edgewood, MD 21040 Phone: 410-671-6900 | |
Upper Chesapeake Primary Care,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Woodbridge Station Way, Edgewood, MD 21040 Phone: 443-643-2273 | |
West Cecil Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1918 Pulaski Hwy, Edgewood, MD 21040 Phone: 410-378-9696 Fax: 410-378-0787 |