Individual
DR. EDMOND A. BENDALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
831 THEATRE DRIVE, MARION, IN 46952-1701
(765) 660-7800
(765) 662-4470
Mailing address
330 NORTH WABASH, SUITE G20, MARION, IN 46952-2600
(765) 662-4133
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
P51816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620997
ANTHEM
IN
05
—
200948330
—
IN
Enumeration date
05/31/2007
Last updated
10/20/2020
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