Individual
DR. JEFFREY D BEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 S 17TH ST, SUITE 1905, PHILADELPHIA, PA 19103-6231
(215) 731-0210
Mailing address
255 S 17TH ST, SUITE 1905, PHILADELPHIA, PA 19103-6231
(215) 731-0210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD048252L
PA
2084P0802X
Addiction Psychiatry Physician
MD048252L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD048252L
MEDICAL LICENSE
PA
Enumeration date
05/11/2006
Last updated
08/08/2007
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