Individual
PAUL BERTOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MOUNT AUBURN ST, SUITE 419, CAMBRIDGE, MA 02138-5600
(617) 354-8771
(617) 441-6393
Mailing address
300 MOUNT AUBURN ST STE 419, CAMBRIDGE, MA 02138-5665
(617) 354-8771
(617) 441-6393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55938
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55938
MA
207RP1001X
Pulmonary Disease Physician
Primary
55938
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014981
NEIGHBORHOOD HEALTH
MA
01
—
0422095-002
CIGNA
MA
05
—
3072061
—
MA
01
—
765474
TUFTS HEALTH PLAN
MA
01
—
J08624
BLUE CROSS
MD
01
—
PM989
HARVARD PILGRIM
MA
Enumeration date
11/14/2006
Last updated
01/30/2012
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