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

Lifebridge Suburban Physicians Group, LLC

Organization Internal Medicine Physician · NPI 1366807885

Lifebridge Suburban Physicians Group, LLC is an Internal Medicine Physician in Baltimore, Maryland. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2700 Quarry Lake Dr Ste 280
Baltimore, MD 21209-3742
Phone: (410) 469-5544
Fax: (410) 585-2867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1366807885
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifebridge Community Physicians, LLC
Authorized official Mary Wright-Sisk — Director Of Physician Enterprise · (443) 422-9941
Other names Dr. Stephen Witanowski; Dr. Stephen Witanowski
NPI enumeratedDecember 29, 2015
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address5401 Old Court Rd, Randallstown, MD 21133-5103

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