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Individual
DEAN F. BRYDEN
Active
Individual
DEAN F. BRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405870003
BLUE SHIELD
—
01
—
040426006782
FIDELIS CARE
NY
Enumeration date
07/11/2006
Last updated
07/08/2007
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