Organization

Edward M. Eisenbrey,m.D.,p.A.

Legal Business Name

Edward M. Eisenbrey,m.D.,p.A.

NPI Number

1679639256

NPI Type

Organization

Enumeration Date

12/28/2006

Specialties

(Taxonomies)

Code

207VG0400X
2080A0000X

Primary Taxonomy

No
No

Licenses

State

Maryland
Maryland

License Number

D0017291
D16180

Contact
Information

Purpose

Mailing
Location

Address

3050 CRAIN HWY
3050 CRAIN HWY

City

Waldorf
Waldorf

State

MD
MD

Postal Code

20601-2824
20601-2824

Country

US
US

Telephone Number

(301) 843-5333
(301) 843-5333

Authorized Official

Name

Dr. Edward Eisenbrey

Title or Position

PRESIDENT

Telephone Number

(301) 843-5333

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address