Bertucci, Gloria Mary

Bertucci, Gloria Mary is an individual health care provider with primary practice located at 2801 Atlantic Ave Department Of Pathology, Long Beach CA 90806-1701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Bertucci, Gloria Mary can be contacted via phone (562) 933-0715.

Contact Information

Primary practice address
2801 Atlantic Ave Department Of Pathology Long Beach CA 90806-1701
Phone: (562) 933-0715
Fax: (562) 933-0791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X C41029 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C41029 California

Profile Details

NPI number 1043276264
LBN Legal business name Bertucci, Gloria Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 5th, 2007 - about 17 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 1043276264 NPPES
California MEDICAID 00C410290

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