Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | MA049743 | NJ |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD028489E | PA |
N | 2086S0105X | Surgery of the Hand | MA049743 | NJ |
N | 2086S0105X | Surgery of the Hand | MD028489E | PA |
N | 2251H1200X | Hand | MA049743 | NJ |
N | 2251H1200X | Hand | MD028489E | PA |
N | 225XH1200X | Occupational Therapist - Hand | MA049743 | NJ |
N | 225XH1200X | Occupational Therapist - Hand | MD028489E | PA |
NPI | 1750318325 |
---|---|
Provider Name | Dr. John M. Bednar |
First Address | King Of Prussia, PA 19406-3530 |
Second Address | Cherry Hill, NJ 08003-2178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0085429000 | INDEPENDENCE BLUE CROSS (01) | PA |
159901 | PENNSYLVANIA BLUE SHIELD (01) | PA |
C60223 | (02) |