| Lifebridge Health Primary Care | |
|
2411 W Belvedere Ave Suite 504 Baltimore MD 21215-5228 | |
| (410) 601-0070 | |
| (410) 601-0290 |
| Full Name | Lifebridge Health Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 2411 W Belvedere Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Mary Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Health Primary Care 2411 W Belvedere Ave Suite 504 Baltimore MD 21215-5228 Ph: (410) 601-0070 | Lifebridge Health Primary Care 2411 W Belvedere Ave Suite 504 Baltimore MD 21215-5228 Ph: (410) 601-0070 |
| NPI Number | 1902287121 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902287121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maryland) | Primary |
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