| Lifebridge Community Physicians Inc | |
|
504 E Ridgeville Blvd Ste 110 Mount Airy MD 21771-5942 | |
| (301) 846-0300 | |
| (410) 601-4938 |
| Full Name | Lifebridge Community Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 504 E Ridgeville Blvd Ste 110, Mount Airy, 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 Physicians Inc 504 E Ridgeville Blvd Ste 110 Mount Airy MD 21771-5942 Ph: (301) 846-0300 | Lifebridge Community Physicians Inc 504 E Ridgeville Blvd Ste 110 Mount Airy MD 21771-5942 Ph: (301) 846-0300 |
| NPI Number | 1114718723 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114718723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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