Provider Demographics
NPI:1356377691
Name:MCFAYDEN EYO & STROTTAND ASSOC PA
Entity type:Organization
Organization Name:MCFAYDEN EYO & STROTTAND ASSOC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:MCFAYDEN EYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-749-8300
Mailing Address - Street 1:1205 PEMBERTON DR
Mailing Address - Street 2:STE 102
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2483
Mailing Address - Country:US
Mailing Address - Phone:410-749-8300
Mailing Address - Fax:410-860-9007
Practice Address - Street 1:1205 PEMBERTON
Practice Address - Street 2:STE 102
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2483
Practice Address - Country:US
Practice Address - Phone:410-749-8300
Practice Address - Fax:410-860-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2743OtherJOHN HOPKINS LLC EHP
5644585OtherAETNA NON HMO
899682OtherAETNA HMO
KDG9OtherCAREFIRST BCBS OF MARYLAN
S461OtherBCBS FEDERAL
2743OtherPRIORITY PARTNERS
S461OtherCAREFIRST BLUE CHOICE
181300OtherCOVENTRY
MD510419000Medicaid
181300OtherCOVENTRY
5644585OtherAETNA NON HMO
899682OtherAETNA HMO
=========OtherBCBS OF DELAWARE
2743OtherJOHN HOPKINS LLC EHP
=========OtherNCPPO