NPI | 1386896363 |
---|---|
Other Name | LIFEBRIDGE PRIMARY CARE ASSOCIATES @ QUARRY LAKE |
Entity Type | Organization |
Authorized Contact | CHARLES B EFIRD Director 410-601-7019 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD 30-062) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD 30-062) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2022-01-28 |