Individual
JENNIFER BERTOLASIO MOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
134 CAPITAL DR STE E, WEST SPRINGFIELD, MA 01089-1320
(413) 733-0010
(413) 417-2978
Mailing address
PO BOX 366, LUDLOW, MA 01056-0366
(413) 733-0010
(413) 930-2108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4201
MA
Other
Enumeration date
07/13/2011
Last updated
01/11/2022
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