Individual
DR. JON J BELLANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 N UNION AVE, HAVRE DE GRACE, MD 21078-2825
(410) 939-3121
(410) 939-8278
Mailing address
520 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4339
(443) 643-4300
(443) 643-4351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0033079
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
D33079
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232921200
—
MD
Enumeration date
08/19/2005
Last updated
10/10/2018
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