Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifebridge Community Physicians, Inc

Organization Pediatrics Physician · NPI 1790129054

Lifebridge Community Physicians, Inc is a Pediatrics Physician in Towson, Maryland. Licensed in Maryland. Registered with an NPI since 2013.

Licensed in
MD
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 Fairmount Ave Ste 200
Towson, MD 21286-5466
Phone: (410) 494-1369
Fax: (410) 494-2737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (MD)

Record details

NPI number1790129054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Lifebridge Community Pediatrics Llc Main Street Pediatrics; Lifebridge Community Pediatrics Llc Main Street Pediatrics
NPI enumeratedApril 17, 2013
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address515 Fairmount Ave, Suite 200, Towson, MD 21286-5466

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