| NPI | 1003051905 |
|---|---|
| Doing Business As | CHARLES J BERTUCH, JR, MD, PC |
| Entity Type | Organization |
| Authorized Contact | CHARLES J BERTUCH President 518-843-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 99421-1) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |