Individual
TAD T RENVYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11573
NH
2085R0202X
Diagnostic Radiology Physician
MD20616
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30202047
—
NH
Enumeration date
02/10/2006
Last updated
07/30/2025
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