DR. Jack G Bertolino, MD

NPI #1043271752 in Lewiston, New York

Provider Information

NPI Number: 1043271752
Entity Type: Individual
Name: DR. Jack G Bertolino, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5320 MILITARY RD
Address 2: SUITE #104
City: Lewiston
State: New York
ZIP Code: 14092-2149
Phone: (716) 297-1153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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