Lifebridge Community Physicians, Inc
Lifebridge Community Physicians, Inc is an Internal Medicine Physician in Randallstown, Maryland. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8600 Liberty RdRandallstown, MD 21133-4707
Phone: (410) 521-4211
Fax: (410) 521-0627
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1912364076 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Wright-Sisk — Director · (443) 422-9941 |
| Other names | Lifebridge Health Primary Care At Liberty Road |
| NPI enumerated | January 20, 2016 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |
| Mailing address | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
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Dr. Mohammed G Kiddugavu, MD
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Lifebridge Community Physicians Inc
5401 Old Court Rd, Randallstown, MD 21133-5103 · (410) 521-4211
-
Lifebridge Community Physicians Inc
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Lifebridge Community Physicians Inc
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