Individual
ANGELO ANTHONY BERTOLINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
357 WESTERN AVE, GLOUCESTER, MA 01930-4014
(978) 281-1828
Mailing address
357 WESTERN AVE, GLOUCESTER, MA 01930-4014
(978) 281-1828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1875
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600176
—
MA
01
—
453911
TUFTS
MA
01
—
Y45426
BLUE CROSS
MA
Enumeration date
04/18/2007
Last updated
03/11/2015
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