Individual
DR. KYLE ANDREW BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(857) 409-6024
Mailing address
ONE BOSTON MEDICAL CENTER PLACE, DEPARTMENT OF PHARMACY, BOSTON, MA 02118
(857) 409-6024
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH236898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH236898
PHARMACIST LICENSE
MA
Enumeration date
02/28/2018
Last updated
02/28/2018
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