Provider Demographics
NPI:1376738856
Name:THOMAS-BEDEAU, VERONICA DIANN (MD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:DIANN
Last Name:THOMAS-BEDEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12405 PLEASANT PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2518
Mailing Address - Country:US
Mailing Address - Phone:301-390-4995
Mailing Address - Fax:301-390-4995
Practice Address - Street 1:4460 MACARTHUR BLVD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2516
Practice Address - Country:US
Practice Address - Phone:202-333-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC12501208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics