Individual
MADELEINE BEDARD-RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2 BROADWAY AVE, GORHAM, NH 03581-1502
(603) 466-2741
(603) 466-2953
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-3669
(603) 752-3027
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
210
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0308284Y0NH02
ANTHEM BC/BS
NH
01
—
210
STATE LICENSE #
NH
05
—
3072617
—
NH
01
—
3883468001
CIGNA HEALTHCARE
NH
01
—
5830418
AETNA GROUP
—
01
—
P00100691
RAILROAD MEDICARE
—
Enumeration date
08/10/2005
Last updated
08/22/2013
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