Lifebridge Metropolitan Physician Group Ii, LLC

NPI #1790321172 in Baltimore, Maryland

Provider Information

NPI Number: 1790321172
Entity Type: Organization
Organization Name: Lifebridge Metropolitan Physician Group Ii, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 21, 2019
Last Updated: Aug 31, 2021

Practice Location

Address: 1 E UNIVERSITY PKWY UNIT 109
City: Baltimore
State: Maryland
ZIP Code: 21218-2432
Phone: (410) 235-1601

Authorized Official

Name: MARY R WRIGHT-SISK
Title: DIRECTOR
Phone: (443) 422-9941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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