Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ITALO MARCELLO BASTIANELLI, D.O.
ActiveDR. ITALO MARCELLO BASTIANELLI, D.O. is a Obstetrics healthcare provider located in FORT MEADE, Maryland. NPI 1699756999 is currently active in the NPPES registry. Verify at CMS.
Obstetrics · FORT MEADE, MD
Registration Details
- NPI Number
- 1699756999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2005 (20.72384902299 yrs)
- Last Updated
- Feb 19, 2025
- Licenses
-
25MB05892100 (NJ)25MB05892100 (NJ)
Practice Information
- Address
-
FORT GEORGE G. MEADE MEDDAC2480 LLEWELLYN AVE/SUITE 5800FORT MEADE, MD, 207555129Browse MD providers · Browse ZIP 20755
- Phone
- 4102781763
- Primary Specialty
-
Obstetrics
207VX0000X
- Additional Specialty
- Gynecology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.