| NPI | 1477160984 |
|---|---|
| Doing Business As | LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC D/B/A DR. RUSSELL SCHUB |
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 410-701-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |