LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC

GLEN BURNIE, MD
NPI1033900352
Other NameDR. GAURAV KUMAR AT MADISON PARK
Entity TypeOrganization
Authorized ContactMARY REBECCA WRIGHT-SISK
Director
443-422-9941
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2025-05-15
Last Update Date2025-05-15
Business Address
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
1405 MADISON PARK DR
GLEN BURNIE, MD 21061-5627
Phone number: 410-308-7865
Mailing Address
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
1405 MADISON PARK DR
GLEN BURNIE, MD 21061-5627
Phone number: 410-308-7865