Anthony Patrick Bertin in Canton - Urology
Anthony Patrick Bertin - NPI 1063410611
Anthony Patrick Bertin is a Urology in Canton, Ohio. Anthony Patrick Bertin practices all healthcare services and medical treatments related to Urology. The NPI Number for Anthony Patrick Bertin is 1063410611. The last update date is 2019-03-25.
Anthony Patrick Bertin's current location address is 4976 Tuscarawas St W, Canton, Ohio. You can contact this provider via phone number 3304790114 and fax number 3304790208. The mailing address for Anthony Patrick Bertin is 4976 Tuscarawas St W, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Patrick Bertin |
|---|---|
| Address | 4976 Tuscarawas St W, Canton, Ohio |
| Phone Number | 3304790114 |
| Fax Number | 3304790208 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1063410611 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2019-03-25 |
Provider Mailing Address Detail
| Address | 4976 Tuscarawas St W |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447085057 |
| Phone Number | 3304790114 |
| Fax Number | 3304790208 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 34-003103 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 504592 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony Patrick Bertin by the Centers for Medicare & Medicaid Services (CMS)?
The Anthony Patrick Bertin has been assigned the NPI (National Provider Identifier) 1063410611. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Anthony Patrick Bertin?
The Anthony Patrick Bertin is physically situated at 4976 Tuscarawas St W, in the city of Canton, state of OH, with the postal code 447085057.
What is Anthony Patrick Bertin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Anthony Patrick Bertin is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063410611 to Anthony Patrick Bertin?
The Anthony Patrick Bertin received its 1063410611 assignment from the Centers for Medicare & Medicaid Services on 2005-07-08.
As of what date were the details related to Anthony Patrick Bertin most recently updated or revised?
The information pertaining to Anthony Patrick Bertin, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-25.