Provider Demographics
NPI:1992724322
Name:ARRISON, EDWARD JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOSEPH
Last Name:ARRISON
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 1:1723 CHRISARA CT
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-3004
Mailing Address - Country:US
Mailing Address - Phone:443-417-7753
Mailing Address - Fax:
Practice Address - Street 1:1952 PULASKI HWY # A
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-1617
Practice Address - Country:US
Practice Address - Phone:410-538-7000
Practice Address - Fax:410-679-7825
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050993207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG40703Medicare UPIN
MD177680YD31Medicare PIN
MD177680ZE2NMedicare PIN
MDP00832484Medicare PIN
MDP00925431Medicare PIN