Eden, Robert S

Eden, Robert S is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 460, Annapolis MD 21401-3046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eden, Robert S can be contacted via phone (443) 481-4080.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 460 Annapolis MD 21401-3046
Phone: (443) 481-4080
Fax: (443) 481-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0030701 Maryland

Profile Details

NPI number 1902806409
LBN Legal business name Eden, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Apr 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902806409 NPPES
Maryland MEDICAID 352161300
Maryland Other 606897000
Maryland Other 0001
Maryland Other 1070096
Maryland Other 4067774
Maryland Other 0108323
Maryland Other KAISER
Maryland Other AETNA HMO
Maryland Other 2133455
Maryland Other 42571202

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