Individual
ROBERT J BERTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2508 MYRTLE ST STE 100, ERIE, PA 16502-2700
(814) 452-5400
(814) 454-2003
Mailing address
2508 MYRTLE ST STE 100, ERIE, PA 16502-2700
(814) 452-5400
(865) 305-8873
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
24590
TN
2085R0203X
Therapeutic Radiology Physician
28279
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077791
—
TN
Enumeration date
01/08/2007
Last updated
06/17/2024
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