Basic Information
| Provider Information | |||||||||
| NPI: | 1750318325 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEDNAR | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 S HENDERSON RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194063530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107685940 | ||||||||
| FaxNumber: | 6107685947 | ||||||||
| Practice Location | |||||||||
| Address1: | 1888 MARLTON PIKE E | ||||||||
| Address2: | |||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080032178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107685940 | ||||||||
| FaxNumber: | 6107685947 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | MD028489E | PA | X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery | 207XS0106X | MA049743 | NJ | X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery | 2085R0202X | MD028489E | PA | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | MA049743 | NJ | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2086S0105X | MD028489E | PA | X | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand | 2086S0105X | MA049743 | NJ | X | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand | 2251H1200X | MD028489E | PA | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand | 2251H1200X | MA049743 | NJ | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand | 225XH1200X | MD028489E | PA | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | 225XH1200X | MA049743 | NJ | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
ID Information
| ID | Type | State | Issuer | Description | 0085429000 | 01 | PA | INDEPENDENCE BLUE CROSS | OTHER | 159901 | 01 | PA | PENNSYLVANIA BLUE SHIELD | OTHER |