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Individual
DR. JUSTIN BERNARD BERTRAND
Active
Individual
DR. JUSTIN BERNARD BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
242818
NY
208M00000X
Hospitalist Physician
Primary
242818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673518
—
NY
01
—
1275747107
NPI
NY
Enumeration date
05/10/2007
Last updated
03/07/2023
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