Individual
MICHAEL BERTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 FOUCHER ST FL 2, NEW ORLEANS, LA 70115-3515
(504) 210-4472
(504) 210-4473
Mailing address
3600 PRYTANIA ST, STE 35, NEW ORLEANS, LA 70115-3678
(504) 897-8412
(504) 249-5311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MMD.39911LL
SC
208M00000X
Hospitalist Physician
Primary
320671
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2533223
—
LA
Enumeration date
06/24/2016
Last updated
07/02/2021
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