Dr Italo Marcello Bastianelli, DO | |
Kirk Us Army Health Clinic, 6455 Machine Street, Aberdeen Proving Ground, MD 21005 | |
(410) 278-1763 | |
Not Available |
Full Name | Dr Italo Marcello Bastianelli |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | Kirk Us Army Health Clinic, Aberdeen Proving Ground, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1699756999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 25MB05892100 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Dr Italo Marcello Bastianelli, DO 6455 Machine St Bldg 2501, Aberdeen Proving Ground, MD 21005-5213 Ph: () - | Dr Italo Marcello Bastianelli, DO Kirk Us Army Health Clinic, 6455 Machine Street, Aberdeen Proving Ground, MD 21005 Ph: (410) 278-1763 |
Dr. Charles W Bush, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2501 Oakington St, Aberdeen Proving Ground, MD 21005 Phone: 410-278-1902 Fax: 410-278-1766 |