# DR. FREDERIC JOSEPH BERTINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770979767
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 88974 | GA | — |
| 2085R0202X | Diagnostic Radiology Physician | MD61048424 | WA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 88974 | GA | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | MD61048424 | WA | — |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 08/09/2022