Individual
DR. DMITRY BEDERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNP
Contact information
Practice address
6701 N CHARLES ST STE 4105, BALTIMORE, MD 21204-6881
(443) 849-8200
Mailing address
6701 N CHARLES ST STE 4105, BALTIMORE, MD 21204-6808
(443) 629-5485
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R204060
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
R204060
MD
363LP2300X
Primary Care Nurse Practitioner
R204060
MD
Other
Enumeration date
08/11/2021
Last updated
07/23/2022
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