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NPI Code Detail

MEDICARE: ROBERT M BEDARD MD

MEDICARE:   ROBERT M BEDARD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician025672CT
2207KI0005XClinical & Laboratory Immunology (Allergy & Immunology) Physician025672CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010025672CT01OTHERBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3051077OTHERCONNECTICARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
70127519002OTHERCIGNA
8226295OTHERPREFERRED ONE
9P2191290OTHEROXFORD

General Provider Information

NPI Number : 1003897851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT M BEDARD MD
Provider Business Mailing Address
First Line : 836 FARMINGTON AVENUE
Second Line : SUITE 207
City : WEST HARTFORD
State : CT
Zip : 06119
Country : US
Telephone Number : 860-232-9911
Fax Number : 860-233-5996
Provider Business Practice Location Address
First Line : 836 FARMINGTON AVENUE
Second Line : SUITE 207
City : WEST HARTFORD
State : CT
Zip : 06119-1505
Country : US
Telephone Number : 860-232-9911
Fax Number : 860-233-5996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 02/04/2010

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