Individual
DR. FERNANDO MAYOR BASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2150 PENNSYLVANIA AVE NW FL 9TH, WASHINGTON, DC 20037-3201
(202) 741-2710
Mailing address
1731 CHURCH ST NW, WASHINGTON, DC 20036-1301
(310) 994-5092
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
A138310
CA
2084V0102X
Vascular Neurology Physician
Primary
MD049273
DC
Other
Enumeration date
07/03/2013
Last updated
08/20/2021
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