Individual
JEREMY PAUL BERTOCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 NORTHRIDGE DR, PITTSBURGH, PA 15237-2002
(412) 491-8812
Mailing address
116 NORTHRIDGE DR, PITTSBURGH, PA 15237-2002
(412) 491-8812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15138
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2024
Last updated
07/31/2025
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