Individual
JUDY S. BERTELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 BLANDING AVE, ALAMEDA, CA 94501-1503
(510) 486-1467
Mailing address
PO BOX 2774, BERKELEY, CA 94702-0774
(510) 486-1467
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G79823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G798230
—
CA
Enumeration date
01/18/2007
Last updated
01/16/2009
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