Lifebridge Community Physicians, INC.
Family Medicine in Westminster, MD. Organization (NPI-2).
NPI number1124486337
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1124486337
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifebridge Community Physicians, INC.
- Organization subpart
- No
- Enumeration date
- Feb 2, 2016
- Certification date
- Aug 27, 2021
- Last updated
- Aug 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Dr. John Middleton (Doing Business As)
Practice location
688 Poole RdWestminster, MD 21157-6166
Phone 410-857-8202
Mailing address
688 Poole RdWestminster, MD 21157-6166
Phone 410-857-8202
Authorized official
Mary R Wright-Sisk
Director
4434429941
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