Lifebridge Surgical Services | |
5401 Old Court Rd Randallstown MD 21133-5103 | |
(410) 521-2200 | |
Not Available |
Full Name | Lifebridge Surgical Services |
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Speciality | Family Medicine |
Location | 5401 Old Court Rd, Randallstown, Maryland |
Authorized Official Name and Position | Mary R Wright-sisk (DIRECTOR) |
Authorized Official Contact | 4434229941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifebridge Surgical Services 5401 Old Court Rd Randallstown MD 21133-5103 Ph: (410) 521-2200 | Lifebridge Surgical Services 5401 Old Court Rd Randallstown MD 21133-5103 Ph: (410) 521-2200 |
NPI Number | 1255702338 |
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Provider Enumeration Date | 10/14/2015 |
Last Update Date | 08/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255702338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H68214 (Maryland) | Primary |
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