Individual
THOMAS BEDNAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 PIERCE ST, KINGSTON, PA 18704-5731
(570) 714-7226
Mailing address
517 PIERCE ST, KINGSTON, PA 18704-5731
(570) 714-7226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD014146E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10006847380016
—
PA
Enumeration date
09/27/2005
Last updated
05/14/2008
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