| Doctor Name: | ROBERT M BEDARD |
| NPI Number: | 1003897851 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 025672 |
| Business Practice Address: | 836 Farmington Avenue Suite 207 West Hartford, CT - 061191505 |
| Business Phone Number: | 8602329911 |
| Business Fax Number: | 8602335996 |
| Mailing Address: | 836 Farmington Avenue, Suite 207 WEST HARTFORD |
| State: | CT |
| Postal Code: | 06119 |
| Phone Number: | 8602329911 |
| Fax Number: | 8602335996 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 02/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KI0005X |
| License Number: | 025672 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Clinical & Laboratory Immunology |
| Taxonomy Definition: | |