BARRY BERTOLASIO

VIRGINIA BEACH, VA
NPI1164859930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-10-10
Last Update Date2013-10-10
Business Address
-- BARRY BERTOLASIO IDC
1840 GATOR BLVD BUILDING 3841
VIRGINIA BEACH, VA 23459-8931
Phone number: 757-763-3321
Mailing Address
-- BARRY BERTOLASIO IDC
835 CRASHAW ST
VIRGINIA BEACH, VA 23462-6913
Phone number: 757-288-5747