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LIFEBRIDGE COMMUNITY PHYSICIANS NPI 1407256985


NPI Information

NPI: 1407256985
Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS

Doing Business As: LIFEBRIDGE CRITICAL CARE

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
ZIP 21133
Phone: (410) 521-5973
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LIFEBRIDGE COMMUNITY PHYSICIANS is a critical care medicine internal medicine in Randallstown, MD. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. LIFEBRIDGE COMMUNITY PHYSICIANS NPI is 1407256985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifebridge Critical Care.

The provider's business location address is:

5401 OLD COURT RD
RANDALLSTOWN, MD
ZIP 21133-103
Phone: (410) 521-5973
Fax: (410) 521-7669

The provider's authorized official is Mary Wright-sisk .
The authorized official title is Director and has the following contact phone number (443) 422-9941.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseMARYLANDNo
2207RC0200XInternal MedicineCritical Care MedicineMARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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