Provider Demographics
NPI:1043560972
Name:BERTOZZI, JULIA CONSTANCE (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CONSTANCE
Last Name:BERTOZZI
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:100 CUMMINGS CTR STE 112D
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6105
Mailing Address - Country:US
Mailing Address - Phone:978-778-3850
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR STE 112D
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6105
Practice Address - Country:US
Practice Address - Phone:978-778-3850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2023-11-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical