Individual
DR. JUSTIN BERNARD BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, HOSPITAL INTERNISTS, SYRACUSE, NY 13203-1807
(315) 448-5704
(315) 423-6853
Mailing address
301 PROSPECT AVE, HOSPITAL INTERNISTS, SYRACUSE, NY 13203-1807
(315) 448-5704
(315) 423-6853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
242818
NY
208M00000X
Hospitalist Physician
Primary
242818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673518
—
NY
01
—
1275747107
NPI
NY
Enumeration date
05/10/2007
Last updated
03/07/2023
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