Provider Demographics
NPI:1124468384
Name:SLAYDEN, EDWARD NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:NORMAN
Last Name:SLAYDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 BUENA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-3919
Mailing Address - Country:US
Mailing Address - Phone:410-952-9511
Mailing Address - Fax:
Practice Address - Street 1:500 W BERKELEY ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5514
Practice Address - Country:US
Practice Address - Phone:724-430-6598
Practice Address - Fax:724-430-3932
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA156853207R00000X
PAMD458954207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine