| Lifebridge Suburban Physician Group, Llc Dba Yaniv Berger, Md | |
|
2700 Quarry Lake Dr Suite 280 Baltimore MD 21209-3742 | |
| (410) 601-6897 | |
| Not Available |
| Full Name | Lifebridge Suburban Physician Group, Llc Dba Yaniv Berger, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2700 Quarry Lake Dr, Baltimore, Maryland |
| Authorized Official Name and Position | Mary Wright-sisk (DIRECTOR OF PHYSICIAN ENTERPRISE) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Suburban Physician Group, Llc Dba Yaniv Berger, Md 5401 Old Court Rd Randallstown MD 21133-5103 Ph: () - | Lifebridge Suburban Physician Group, Llc Dba Yaniv Berger, Md 2700 Quarry Lake Dr Suite 280 Baltimore MD 21209-3742 Ph: (410) 601-6897 |
| NPI Number | 1972968519 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972968519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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