Individual
MADELEINE BEDARD-RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
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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