ELLIS MEZ

LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC

Dr ELLIS MEZ is a male medical professional, specializing in Internal Medicine. He graduated in 1977 from University Of Maryland School Of Medicine.

Contact

LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC

1645 LIBERTY RD
SUITE 204
SYKESVILLE
MD
217846542

Tel: 4107957737

ELLIS MEZ Information

Npi 1023029956
Pac Id 8527198290
Professional Enrollment Id I20100608000509
Last Name MEZ
First Name ELLIS
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1977
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 GERIATRIC MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GERIATRIC MEDICINE
Organization Legal Name LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC
Group Practice Pac Id 0345465654
Number Of Group Practice Members 5
Line 1 Street Address 1645 LIBERTY RD
Line 2 Street Address SUITE 204
Marker Of Address Line 2 Suppression
City SYKESVILLE
State MD
Zip Code 217846542
Phone Number 4107957737
Hospital Affiliation Ccn 1 210012
Hospital Affiliation Lbn 1 SINAI HOSPITAL OF BALTIMORE
Hospital Affiliation Ccn 2 210033
Hospital Affiliation Lbn 2 CARROLL HOSPITAL CENTER
Hospital Affiliation Ccn 3 210040
Hospital Affiliation Lbn 3 NORTHWEST HOSPITAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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