Bertoli, Robert J
Bertoli, Robert J is an individual health care provider with primary practice located at 2508 Myrtle St Ste 100 , Erie PA 16502-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Bertoli, Robert J can be contacted via phone (814) 452-5400.Contact Information
Primary practice address
2508 Myrtle St Ste 100
Erie PA 16502-2700
Phone: (814) 452-5400
Fax: (814) 454-2003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 28279 | Tennessee |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 24590 | Tennessee |
Profile Details
NPI number | 1477601235 |
---|---|
LBN Legal business name | Bertoli, Robert J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Jun 17th, 2024 - about last year |
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 | 1477601235 | NPPES |
Tennessee | MEDICAID | 3077791 |
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