GERALD BORTOLAZZO

AUSTELL, GA
NPI1104925007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  017997)
Enumeration Date2006-09-21
Last Update Date2008-01-31
Business Address
-- GERALD BORTOLAZZO
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-4000
Mailing Address
-- GERALD BORTOLAZZO
5665 NEW NORTHSIDE DR
ATLANTA, GA 30384-0001
Phone number: 770-874-5400