Provider Demographics
NPI:1720373905
Name:BEDNAR, JOHN (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BEDNAR
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5401 OLD COURT RD
Mailing Address - Street 2:NORTHWEST HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-5103
Mailing Address - Country:US
Mailing Address - Phone:410-521-2200
Mailing Address - Fax:
Practice Address - Street 1:5401 OLD COURT RD
Practice Address - Street 2:NORTHWEST HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-5103
Practice Address - Country:US
Practice Address - Phone:410-521-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2021-07-21
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Provider Licenses
StateLicense IDTaxonomies
MDC0004483363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical