Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY DISTEFANO, JR MD
Active OrganizationANTHONY DISTEFANO, JR MD is a Adolescent Medicine organization located in WORCESTER, Massachusetts. NPI 1063646552 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · WORCESTER, MA
Registration Details
- NPI Number
- 1063646552
- Provider Type
- Organization
- NPI Issued
- May 12, 2009 (17.267025918504 yrs)
- Last Updated
- May 12, 2009
- License
-
21567 (MA)
Practice Information
- Address
-
562 LINCOLN STWORCESTER, MA, 016051916Browse MA providers · Browse ZIP 01605
- Phone
- 5088526028
- Fax
- 5087217821
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.