Dr Italo Marcello Bastianelli, DO - Obstetrics & Gynecology in Fort Meade, MD

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Dr Italo Marcello Bastianelli, DO is a Obstetrics & Gynecology - Obstetrics physician based in Fort Meade, Maryland. Dr Italo Marcello Bastianelli is licensed to practice in New Jersey (license number 25MB05892100) and his current practice location is Fort George G. Meade Meddac, 2480 Llewellyn Ave/suite 5800, Fort Meade, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 278-1763.

NPI number for Dr Italo Marcello Bastianelli is 1699756999 and his current mailing address is 6455 Machine St Bldg 2501, Aberdeen Proving Ground, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699756999.

Contact Information

Dr Italo Marcello Bastianelli, DO
Fort George G. Meade Meddac, 2480 Llewellyn Ave/suite 5800,
Fort Meade, MD 20755-5129
(410) 278-1763
Not Available

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Physician's Profile

Full NameDr Italo Marcello Bastianelli
GenderMale
SpecialityObstetrics & Gynecology - Obstetrics
LocationFort George G. Meade Meddac, Fort Meade, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699756999
  • Provider Enumeration Date: 11/14/2005
  • Last Update Date: 02/19/2025

Medical Identifiers

Medical identifiers for Dr Italo Marcello Bastianelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699756999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics 25MB05892100 (New Jersey)Primary
207VG0400XObstetrics & Gynecology - Gynecology 25MB05892100 (New Jersey)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Italo Marcello Bastianelli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Italo Marcello Bastianelli, DO
6455 Machine St Bldg 2501,
Aberdeen Proving Ground, MD 21005-5213

Ph: () -		Dr Italo Marcello Bastianelli, DO
Fort George G. Meade Meddac, 2480 Llewellyn Ave/suite 5800,
Fort Meade, MD 20755-5129

Ph: (410) 278-1763

Reviews and Comments


Obstetrics & Gynecology Doctors in Fort Meade, MD


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