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LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II LLC NPI 1790321172


NPI Information

NPI: 1790321172
Provider Name: LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC

Doing Business As: VILLAGE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1 E UNIVERSITY PKWY UNIT 109
BALTIMORE, MD
ZIP 21218
Phone: (410) 235-1601
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LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC is a pediatrics in Baltimore, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC NPI is 1790321172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Village Pediatrics.

The provider's business location address is:

1 E UNIVERSITY PKWY UNIT 109
BALTIMORE, MD
ZIP 21218-432
Phone: (410) 235-1601
Fax: (410) 467-6881

The provider's authorized official is Mary R 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 11/21/2019 and was last updated on 8/31/2021.


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
1208000000XPediatricsYes

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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