Individual
DR. GLORIA MARY BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 ATLANTIC AVE, DEPARTMENT OF PATHOLOGY, LONG BEACH, CA 90806-1701
(562) 933-0715
(562) 933-0791
Mailing address
2801 ATLANTIC AVE, DEPARTMENT OF PATHOLOGY, LONG BEACH, CA 90806-1701
(562) 933-0715
(562) 933-0791
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
C41029
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C41029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C410290
—
CA
Enumeration date
04/25/2006
Last updated
10/05/2007
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