Individual
DR. EDWIN J OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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