Individual
DR. EDWIN J OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
6227
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104395Y0 NH06
ANTHEM - MCH TAX ID
NH
01
—
0104395Y0NH03
BLUE CROSS
NH
01
—
2200848
AETNA
NH
01
—
2862
CIGNA
NH
01
—
300064312
RAILROAD MEDICARE
NH
01
—
795267
TUFTS
NH
05
—
81303570
—
NH
Enumeration date
04/18/2006
Last updated
07/08/2007
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