Bastianelli, Italo Marcello

Bastianelli, Italo Marcello is an individual health care provider with primary practice located at Fort George G. Meade Meddac 2480 Llewellyn Ave/Suite 5800, Fort Meade MD 20755-5129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Bastianelli, Italo Marcello can be contacted via phone (410) 278-1763.

Contact Information

Primary practice address
Fort George G. Meade Meddac 2480 Llewellyn Ave/Suite 5800 Fort Meade MD 20755-5129
Phone: (410) 278-1763
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 25MB05892100 New Jersey
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 25MB05892100 New Jersey

Profile Details

NPI number 1699756999
LBN Legal business name Bastianelli, Italo Marcello
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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