Bertucci, Michael John

Bertucci, Michael John is an individual health care provider with primary practice located at 101 Page St , New Bedford MA 02740-3464. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Bertucci, Michael John can be contacted via phone (508) 973-5918.

Contact Information

Primary practice address
101 Page St New Bedford MA 02740-3464
Phone: (508) 973-5918
Fax: (508) 973-5916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X RN197511 Massachusetts

Profile Details

NPI number 1427056589
LBN Legal business name Bertucci, Michael John
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 12th, 2024 - about 2 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 1427056589 NPPES
Massachusetts MEDICAID 110097611A

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