Provider Demographics
NPI:1013154749
Name:BEDFORD RESEARCH FOUNDATION
Entity Type:Organization
Organization Name:BEDFORD RESEARCH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KIESSLING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-623-7447
Mailing Address - Street 1:P.O. BOX 1028
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730
Mailing Address - Country:US
Mailing Address - Phone:617-623-7447
Mailing Address - Fax:781-271-9447
Practice Address - Street 1:124 SOUTH RD.
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730
Practice Address - Country:US
Practice Address - Phone:617-623-7447
Practice Address - Fax:781-271-9447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory