Search › Maryland › 207VX0000X
Italo Bastianelli, D.O
NPI 1699756999 · on the registry since 2005
Practice
- Address
- Fort George G. Meade Meddac
2480 Llewellyn Ave/Suite 5800
Fort Meade, MD 20755 - Phone
- (410) 278-1763
Registry record
- Primary taxonomy
- 207VX0000X
207VX0000X
- Also registered as
- 207VG0400X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland