# GREGORIO M. BELLOSO M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962791442
- **Authorized official:** GREGORIO M BELLOSO MD (OWNER)
- **Authorized official phone:** 14103416321

## Contact information

- **Practice address:** 11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
- **Practice address phone:** (410) 651-0011
- **Mailing address:** 5302 CHINABERRY DR, SALISBURY, MD 21801-1265
- **Mailing address phone:** (410) 341-6321
- **Mailing address fax:** (410) 341-7082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D29505 | MD | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 04/05/2011