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

Pediatrics, Adolescent Medicine in Waldorf, MD. Organization (NPI-2).

NPI number1679639256
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1679639256
Entity type
Organization (NPI-2)
Legal business name
Edward M. Eisenbrey,m.D.,p.A.
Organization subpart
No
Enumeration date
Dec 28, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent MedicineD16180MDYes
207VG0400X Obstetrics & Gynecology, GynecologyD0017291MD

Practice location

3050 Crain Hwy
Suite 301 And 302
Waldorf, MD 20601-2824

Phone 301-843-5333 · Fax 301-870-9988

Mailing address

3050 Crain Hwy
Suite 301 And 302
Waldorf, MD 20601-2824

Phone 301-843-5333 · Fax 301-870-9988

Authorized official

Edward Marston Eisenbrey
President
3018435333

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