LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC

BALTIMORE, MD
NPI1366807885
Doing Business AsDR. STEPHEN WITANOWSKI
Entity TypeOrganization
Authorized ContactMARY WRIGHT-SISK
Director Of Physician Enterprise
443-422-9941
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2015-12-29
Last Update Date2021-08-27
Business Address
LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC
2700 QUARRY LAKE DR SUITE 280
BALTIMORE, MD 21209-3742
Phone number: 410-469-5544
Mailing Address
LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC
5401 OLD COURT RD
RANDALLSTOWN, MD 21133-5103
Phone number: 410-701-4439