Provider Demographics
NPI:1033395728
Name:BEDROSIAN, ANDREA S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:S
Last Name:BEDROSIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:81 E RTE 4
Mailing Address - Street 2:35 PLAZA BUILDING SUITE 401
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2667
Mailing Address - Country:US
Mailing Address - Phone:201-646-1121
Mailing Address - Fax:201-646-1110
Practice Address - Street 1:81 E RTE 4
Practice Address - Street 2:35 PLAZA BUILDING SUITE 401
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2667
Practice Address - Country:US
Practice Address - Phone:201-646-1121
Practice Address - Fax:201-646-1110
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY254757208600000X
NJ25MA09230400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery