Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL CHARLES DISTEFANO, O.D.
Active Sole ProprietorDR. PAUL CHARLES DISTEFANO, O.D. is a Optometrist healthcare provider located in TEWKSBURY, Massachusetts. NPI 1073689584 is currently active in the NPPES registry. Verify at CMS.
Optometrist · TEWKSBURY, MA
Registration Details
- NPI Number
- 1073689584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2006 (19.687643349886 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2439 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 MAIN STTEWKSBURY, MA, 018761727Browse MA providers · Browse ZIP 01876
- Phone
- 9788517457
- Fax
- 9788517138
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in TEWKSBURY, MA
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH BELLUCCI | O.D. | 1639275266 |
| JOHN DUGGAN | — | 1700982287 |
| DR. MARK A MCGEE | O.D. | 1861619215 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.