Bertolucci, Alessandra
Bertolucci, Alessandra is an sole proprietor health care provider with primary practice located at 1033 Clifton Ave Ste 107 , Clifton NJ 07013-3517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bertolucci, Alessandra can be contacted via phone (973) 773-9882.Contact Information
Primary practice address
1033 Clifton Ave Ste 107
Clifton NJ 07013-3517
Phone: (973) 773-9882
Fax: (973) 773-9883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA07279200 | New Jersey |
Profile Details
| NPI number | 1174528996 |
|---|---|
| LBN Legal business name | Bertolucci, Alessandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Nov 20th, 2020 - about 5 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 | 1174528996 | NPPES |
| New Jersey | MEDICAID | 9068805 |
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