Bedard, Robert M

Bedard, Robert M is an individual health care provider with primary practice located at 836 Farmington Avenue Suite 207, West Hartford CT 06119-1505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Bedard, Robert M can be contacted via phone (860) 232-9911.

Contact Information

Primary practice address
836 Farmington Avenue Suite 207 West Hartford CT 06119-1505
Fax: (860) 233-5996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 025672 Connecticut
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 025672 Connecticut

Profile Details

NPI number 1003897851
LBN Legal business name Bedard, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Feb 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003897851 NPPES
Other 010025672CT01 BLUE CROSS
Other 00125672600 BLUE CROSS
Other 051077 BLUE CROSS
MEDICAID 001256726 BLUE CROSS
Other 004394508 BLUE CROSS
Other OS2044 BLUE CROSS
Other 0127519002 BLUE CROSS
Other 226295 BLUE CROSS
Other P2191290 BLUE CROSS

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