Individual
MICHAEL JOHN BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5918
(508) 973-5916
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN197511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097611A
—
MA
Enumeration date
07/12/2005
Last updated
09/12/2024
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