Individual
DR. EDWARD JOHN BERTACCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 MIRANDA AVE, DEPT. OF ANESTHESIA, 112A, PALO ALTO VA HOSPITAL, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3423
Mailing address
3801 MIRANDA AVE, DEPT. OF ANESTHESIA, 112A, PALO ALTO VA HOSPITAL, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3423
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
G71364
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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