| NPI | 1972968519 |
|---|---|
| Doing Business As | LIFEBRIDGE SUBURBAN PHYSICIAN GROUP, LLC DBA YANIV BERGER, MD |
| Entity Type | Organization |
| Authorized Contact | MARY WRIGHT-SISK Director Of Physician Enterprise 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2021-08-27 |