LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1831457563

NPI Details

LIFEBRIDGE COMMUNITY PHYSICIANS, INC is a pediatrics in Lutherville, 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 COMMUNITY PHYSICIANS, INC NPI is 1831457563. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Drs Gouel, Blotny And Sullivan.

The provider's business location address is:

1205 YORK RD
SUITE 18
LUTHERVILLE, MD
ZIP 21093-210
Phone: (410) 583-6800
Fax: (410) 583-5259

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

The enumeration date for this NPI number is 5/1/2012 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: