| Doctor Name: | DR. HENRY SPENCER EDEN |
| NPI Number: | 1457516379 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D12777 |
| Business Practice Address: | Building 13 Room 3n17 Msc #5766 Nih Bethesda, MD - 20892 |
| Business Phone Number: | 3014351953 |
| Business Fax Number: | 3014210010 |
| Mailing Address: | 3006 Novak Terrace, BURTONSVILLE |
| State: | MD |
| Postal Code: | 20866 |
| Phone Number: | 3014210023 |
| Fax Number: | 3014210010 |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D12777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |