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
Fax: (973) 773-9883
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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 1174528996 NPPES
New Jersey MEDICAID 9068805

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