| Ms Teresa Rose-marie Mark, | |
| 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | |
| (410) 494-1369 | |
| (410) 494-2737 | 
| Full Name | Ms Teresa Rose-marie Mark | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 849 Fairmont Avenue, Towson, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538499884 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | D0077561 (Maryland) | Primary | 
| Entity Name | Lifebridge Community Pediatrics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629495528 PECOS PAC ID: 6901023167 Enrollment ID: O20140812000403 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Teresa Rose-marie Mark, 515 Fairmount Ave, Suite 200, Towson, MD 21286-5466 Ph: (410) 494-1379 | Ms Teresa Rose-marie Mark, 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 Ph: (410) 494-1369 | 
| Dr. Richard Michael Silberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 Fairmount Ave, Suite 200, Towson, MD 21286 Phone: 410-494-2799 Fax: 410-494-1211 | |
| Dr. Nicolette D Morris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 York Rd, Towson, MD 21204 Phone: 410-825-6420 Fax: 410-825-5819 | |
| Alison Faye Decker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 Lasalle Rd, Suite 105, Towson, MD 21286 Phone: 410-823-5232 | |
| Melissa Emerson Lancer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
| Jeffries L.g. Bucci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7600 Osler Drive, Suite 310, Towson, MD 21204 Phone: 410-296-2300 Fax: 410-296-3444 | |
| Dr. Paul Zoltan Bodnar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Fairmont Avenue, Suite 100a, Towson, MD 21286 Phone: 410-494-1369 Fax: 410-494-2737 | |
| Dr. Kristen Miller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1120 |