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Individual
ROBERT M BEDARD
Active
Individual
ROBERT M BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
025672
CT
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
025672
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001256726
—
CT
01
—
00125672600
BLUE CROSS MEDICAID
—
01
—
004394508
MEDICAID GROUP CAAC
—
01
—
010025672CT01
BLUE CROSS
—
01
—
0127519002
CIGNA
—
01
—
051077
CONNECTICARE
—
01
—
226295
PREFERRED ONE
—
01
—
OS2044
HEALTHNET MEDICAID
—
01
—
P2191290
OXFORD
—
Enumeration date
11/09/2005
Last updated
02/04/2010
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