Individual
DR. SALVATORE J. BERTOLONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E GRAY ST, STE 601, LOUISVILLE, KY 40202-3902
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3600
(502) 588-9536
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
15837
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341260
—
IN
05
—
64158371
—
KY
Enumeration date
06/17/2005
Last updated
09/09/2014
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