Individual
DR. CHARLES BERTOLAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 1ST AVE, NEW YORK, NY 10010-4001
(212) 998-9898
Mailing address
421 1ST AVE, NEW YORK, NY 10010-4001
(212) 998-9898
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN12742
MA
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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