Individual
DR. MILO BASTIANELLI
Active
Individual
DR. MILO BASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MB06532600
NJ
207YS0123X
Facial Plastic Surgery Physician
25MB06532600
NJ
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
25MB06532600
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OS16264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
854041
AETNA
NJ
01
—
OS162264
LICENSE
FL
Enumeration date
06/07/2006
Last updated
02/17/2021
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