Most Relevant Information
Provider Data
| NPI Number: | 1003810474 |
| Provider Name: | GERARD ANTHONY BERTOLINO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | H6772 |
Most Important Dates
| Enumeration Date: | 06/13/2005 |
| Last Updated: | 10/18/2016 |
Provider Practice Location
1990 INDUSTRIAL BLVD
HOUMA
LA
703637055
Practice Location Phone/Fax
| Phone: | 9858689300 |
| Fax: | 9858510053 |
Provider Mailing Location
1990 INDUSTRIAL BLVD
HOUMA
LA
703637055
Provider Mailing Phone/Fax
| Phone: | 9858689300 |
| Fax: | 9858510053 |