| NPI | 1093141616 |
|---|---|
| Doing Business As | LIFEBRIDGE SUBURBAN PHYSICIAN GROUP LLCDBA DR ALEXANDER BOGDASCHEWSKYI |
| Entity Type | Organization |
| Authorized Contact | MARY WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2021-08-27 |