| Lifebridge Community Gastroenterology, Llc | |
|
3001 S Hanover St Ste 300 Baltimore MD 21225-1233 | |
| (410) 602-7782 | |
| (410) 602-9344 |
| Full Name | Lifebridge Community Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3001 S Hanover St Ste 300, Baltimore, Maryland |
| Authorized Official Name and Position | Mary Rebecca Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Community Gastroenterology, Llc 3001 S Hanover St Ste 300 Baltimore MD 21225-1233 Ph: (410) 602-7782 | Lifebridge Community Gastroenterology, Llc 3001 S Hanover St Ste 300 Baltimore MD 21225-1233 Ph: (410) 602-7782 |
| NPI Number | 1376345140 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376345140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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