Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 243687 | NY |
N | 207YP0228X | Pediatric Otolaryngology | D72854 | MD |
Y | 207YP0228X | Pediatric Otolaryngology | MD038814 | DC |
NPI | 1659598662 |
---|---|
Provider Name | Dr. Joshua Robert Bedwell |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/08/2011 |