Bertagnolli, John F
Bertagnolli, John F is an individual health care provider with primary practice located at 42 E Laurel Rd Ste 1800 , Stratford NJ 08084-1338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bertagnolli, John F can be contacted via phone (856) 566-6843.Contact Information
Primary practice address
42 E Laurel Rd Ste 1800
Stratford NJ 08084-1338
Phone: (856) 566-6843
Fax: (856) 566-6419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB04458900 | New Jersey |
Profile Details
| NPI number | 1295715787 |
|---|---|
| LBN Legal business name | Bertagnolli, John F |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295715787 | NPPES |
| New Jersey | MEDICAID | 7634501 | |
| New Jersey | Other | 104946CKP |
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