| Lifebridge Primary Care Associates @ Quarry Lake | |
|
2700 Quarry Lake Dr Suite 280 Baltimore MD 21209-3742 | |
| (443) 471-3270 | |
| (443) 471-3271 |
| Full Name | Lifebridge Primary Care Associates @ Quarry Lake |
|---|---|
| Speciality | Family Medicine |
| Location | 2700 Quarry Lake Dr, Baltimore, Maryland |
| Authorized Official Name and Position | Charles B Efird (DIRECTOR) |
| Authorized Official Contact | 4106017019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Primary Care Associates @ Quarry Lake 2401 W Belvedere Ave Credentialing Baltimore MD 21215-5216 Ph: (410) 601-5523 | Lifebridge Primary Care Associates @ Quarry Lake 2700 Quarry Lake Dr Suite 280 Baltimore MD 21209-3742 Ph: (443) 471-3270 |
| NPI Number | 1386896363 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386896363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30-062 (Maryland) | Primary |
| 282N00000X | General Acute Care Hospital | 30-062 (Maryland) | Secondary |
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