Individual
MS. DESHA D BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEMORIAL AVE, CARROLL HOSPITAL CENTER, WESTMINSTER, MD 21157-5726
(410) 871-6700
(410) 871-7177
Mailing address
10227 DOTTYS WAY, COLUMBIA, MD 21044-3886
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062362
MD
208000000X
Pediatrics Physician
D0062362
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406575100
—
MD
Enumeration date
01/04/2006
Last updated
04/30/2019
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