Bertman, Gary M.
Bertman, Gary M. is an individual health care provider with primary practice located at 157 Montauk Ave , New London CT 06320-4842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bertman, Gary M. can be contacted via phone (860) 437-0333.Contact Information
Primary practice address
157 Montauk Ave
New London CT 06320-4842
Phone: (860) 437-0333
Fax: (860) 439-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 028661 | Connecticut |
Profile Details
| NPI number | 1669568309 |
|---|---|
| LBN Legal business name | Bertman, Gary M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669568309 | NPPES |
| Connecticut | MEDICAID | 001286617 |
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