Individual
DR. ERIC O AIGBEDION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7505 NEW HAMPSHIRE AVE STE 314, TAKOMA PARK, MD 20912-6972
(301) 326-2997
(301) 326-2999
Mailing address
5200 ASHLEIGH GLEN CT, GLENN DALE, MD 20769-9148
(301) 356-6891
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101058203
VA
207P00000X
Emergency Medicine Physician
D0047891
MD
207R00000X
Internal Medicine Physician
Primary
D0047891
MD
207R00000X
Internal Medicine Physician
MD046246
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005848415
—
VA
05
—
005860733
—
VA
05
—
005878080
—
VA
05
—
010055636
—
VA
05
—
1669472072
—
VA
05
—
1802853000
—
VA
05
—
VAA102802
—
VA
Enumeration date
07/28/2005
Last updated
01/22/2019
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