Individual provider · NPI-1

Dr. John Gerome Bertolino, MD, MSPH

Family Medicine · Camp Lejeune, NC

NPI number1477526150

StatusActive

Last updated in NPPESApr 26, 2012

Details

NPI: 1477526150
Entity type: Individual (NPI-1)
Name: Dr. John Gerome Bertolino
Credential: MD, MSPH
Sex: Male
Sole proprietor: Yes
Enumeration date: Feb 11, 2006
Last updated: Apr 26, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	MD031659E	PA	Yes

Practice location

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Phone 910-450-4159 · Fax 910-450-4194

Mailing address

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Phone 910-450-4159 · Fax 910-450-4194

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