Healthcare Provider Details

I. General information

NPI: 1194791269
Provider Name (Legal Business Name): JEFFREY A BEDLION M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8511 MAIN ST
KINSMAN OH
44428-9333
US

IV. Provider business mailing address

2 HOT METAL ST QUANTUM BLDG - SUITE 001
PITTSBURGH PA
15203-2348
US

V. Phone/Fax

Practice location:
  • Phone: 330-876-1662
  • Fax: 330-876-3808
Mailing address:
  • Phone: 412-647-3087
  • Fax: 412-432-5640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35070971B
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: