Provider Demographics
NPI:1013939081
Name:BEDI, HARJINDER S (MD)
Entity Type:Individual
Prefix:
First Name:HARJINDER
Middle Name:S
Last Name:BEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:WARETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08758-1743
Mailing Address - Country:US
Mailing Address - Phone:609-693-1992
Mailing Address - Fax:609-971-3199
Practice Address - Street 1:501 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WARETOWN
Practice Address - State:NJ
Practice Address - Zip Code:08758-1743
Practice Address - Country:US
Practice Address - Phone:609-693-1992
Practice Address - Fax:609-971-3199
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA027711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1394908Medicaid
NJ458270WNCMedicare PIN
NJC56011Medicare UPIN
NJDG0496OtherRR GROUP NUMBER
NJC56011Medicare UPIN
NJ0106324003OtherAMERIHEALTH