Organization
AMSTERDAM ORTHOPEDICS, CHARLES J BERTUCH,JR,MD,PC
Active
Other names
CHARLES J BERTUCH, JR, MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J BERTUCH JR. M.D. (PRESIDENT)
(518) 843-2292
Entity
Organization
Contact information
Practice address
124 POLAR PLZ, ROUTE 30 NORTH, AMSTERDAM, NY 12010-1610
(518) 843-2292
(518) 843-1515
Mailing address
124 POLAR PLZ, ROUTE 30 NORTH, AMSTERDAM, NY 12010-1610
(518) 843-2292
(518) 843-1515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
99421-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000CM0523
RAILROAD MEDICARE
NY
05
—
00553493
—
NY
Enumeration date
12/05/2008
Last updated
12/05/2008
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