Bertozzi, Paul
Bertozzi, Paul is an individual health care provider with primary practice located at 300 Mount Auburn St Suite 419, Cambridge MA 02138-5600. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bertozzi, Paul can be contacted via phone (617) 354-8771.Contact Information
Primary practice address
300 Mount Auburn St Suite 419
Cambridge MA 02138-5600
Phone: (617) 354-8771
Fax: (617) 441-6393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55938 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 55938 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 55938 | Massachusetts |
Profile Details
| NPI number | 1346312733 |
|---|---|
| LBN Legal business name | Bertozzi, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jan 30th, 2012 - about 12 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 | 1346312733 | NPPES |
| Maryland | Other | J08624 | BLUE CROSS |
| Maryland | Other | 0014981 | BLUE CROSS |
| Maryland | Other | PM989 | BLUE CROSS |
| Maryland | Other | 0422095-002 | BLUE CROSS |
| Maryland | Other | 765474 | BLUE CROSS |
| Maryland | MEDICAID | 3072061 | BLUE CROSS |
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