Individual
JUSTIN BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3471 5TH AVE, KAUFMANN BUILDING, SUITE 201, PITTSBURGH, PA 15213-3215
(412) 648-6848
Mailing address
229 SHERYL LN, PITTSBURGH, PA 15221-3768
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT013673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT013673
PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
06/01/2010
Last updated
06/01/2010
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