Individual
DR. JOHN PAUL BRIDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11046
NH
207R00000X
Internal Medicine Physician
Primary
31365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313654
—
SC
01
—
P00727204
RAILROAD MEDICARE ID-RSFPP
SC
Enumeration date
03/08/2006
Last updated
11/20/2013
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