Organization
GREGORIO M. BELLOSO M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORIO M BELLOSO MD (OWNER)
14103416321
Entity
Organization
Contact information
Practice address
11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
(410) 651-0011
Mailing address
5302 CHINABERRY DR, SALISBURY, MD 21801-1265
(410) 341-6321
(410) 341-7082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D29505
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46234
—
MD
Enumeration date
04/05/2011
Last updated
04/05/2011
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