| NPI | 1790129054 |
|---|---|
| Doing Business As | LIFEBRIDGE COMMUNITY PEDIATRICS LLC MAIN STREET PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-08-27 |