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Individual

MRS. DEBRA ANN BERTSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
273 GRANDVIEW AVE, HONESDALE, PA 18431-1163
(570) 390-4545
(570) 390-4546
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0057681
NY
363AM0700X
Medical Physician Assistant
Primary
MA002312L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0057681
NY LICENSE
NY
01
MA002312L
STATE LICENSE
PA
Enumeration date
10/18/2006
Last updated
10/11/2023
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