Individual
DR. EDWARD M BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 HIGH ST STE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-3165
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
114090
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD063707L
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070837
—
IL
05
—
036070837
—
MO
01
—
373430
HEALTHLINK
MO
01
—
604419
BCBS
MO
01
—
P00779909
RR MCR
MO
Enumeration date
08/31/2006
Last updated
01/24/2026
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