Organization
BERTEKAP SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD BERTEKAP (PRESIDENT)
(732) 749-0827
Entity
Organization
Contact information
Practice address
113 COMANCHE DR, OCEANPORT, NJ 07757-1603
(732) 749-0827
Mailing address
113 COMANCHE DR, OCEANPORT, NJ 07757-1603
(732) 749-0827
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR16375200
NJ
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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