Fred Jeffrey Bertoldo in Pueblo - Neuroradiology

Fred Jeffrey Bertoldo - NPI 1548216443

Fred Jeffrey Bertoldo is a Neuroradiology in Pueblo, Colorado. Fred Jeffrey Bertoldo practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Fred Jeffrey Bertoldo is 1548216443. The last update date is 2008-04-17.

Fred Jeffrey Bertoldo's current location address is Po Box 11512, Pueblo, Colorado. You can contact this provider via phone number 7195422167 and fax number 7195420320. The mailing address for Fred Jeffrey Bertoldo is Po Box 11512, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred Jeffrey Bertoldo
Address Po Box 11512, Pueblo, Colorado
Phone Number 7195422167
Fax Number 7195420320
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1548216443
Provider Enumeration Date 2006-05-25
Last Updated Date 2008-04-17

Provider Mailing Address Detail

Address Po Box 11512
City Pueblo
State Colorado (CO)
Post Code 810010512
Phone Number 7195422167
Fax Number 7195420320

Provider's Primary Taxonomy Detail

Speciality Neuroradiology
Taxonomy 2085N0700X
Licence No 35094
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1350941 CO --

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FAQs about Fred Jeffrey Bertoldo

What is the unique identifier code issued to Fred Jeffrey Bertoldo by the Centers for Medicare & Medicaid Services?

The Fred Jeffrey Bertoldo has been assigned the NPI (National Provider Identifier) 1548216443. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Fred Jeffrey Bertoldo is geographically located?

The Fred Jeffrey Bertoldo is physically situated at the following location: Po Box 11512, Pueblo, CO, 810010512.

What is Fred Jeffrey Bertoldo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Fred Jeffrey Bertoldo is Neuroradiology, and the taxonomy classification code that categorizes this area of expertise is 2085N0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548216443 to Fred Jeffrey Bertoldo?

The Centers for Medicare & Medicaid Services originally issued the 1548216443 to Fred Jeffrey Bertoldo on 2006-05-25.

As of what date was the information regarding Fred Jeffrey Bertoldo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fred Jeffrey Bertoldo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-17.

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