| Lifebridge Community Gastroenterology, Llc | |
|
4801 Dorsey Hall Dr Ste 220 Ellicott City MD 21042-7749 | |
| (410) 602-7782 | |
| (410) 602-9344 |
| Full Name | Lifebridge Community Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4801 Dorsey Hall Dr Ste 220, Ellicott City, 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 4801 Dorsey Hall Dr Ste 220 Ellicott City MD 21042-7749 Ph: (410) 602-7782 | Lifebridge Community Gastroenterology, Llc 4801 Dorsey Hall Dr Ste 220 Ellicott City MD 21042-7749 Ph: (410) 602-7782 |
| NPI Number | 1265234041 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265234041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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