| Lifebridge Community Gastroenterology, Llc | |
|
4000 Old Court Rd Ste 301 Pikesville MD 21208-6417 | |
| (410) 602-7782 | |
| (410) 602-9344 |
| Full Name | Lifebridge Community Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4000 Old Court Rd Ste 301, Pikesville, 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 4000 Old Court Rd Ste 301 Pikesville MD 21208-6417 Ph: (410) 602-7782 | Lifebridge Community Gastroenterology, Llc 4000 Old Court Rd Ste 301 Pikesville MD 21208-6417 Ph: (410) 602-7782 |
| NPI Number | 1134921919 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134921919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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Lifebridge Community Gastroenterology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208 Phone: 410-602-7782 Fax: 410-602-9344 | |
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