Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARCELLO MICHAEL DISTASIO JR., M.D., PH.D.
ActiveDR. MARCELLO MICHAEL DISTASIO JR., M.D., PH.D. is a Neuropathology healthcare provider located in NEW HAVEN, Connecticut. NPI 1609295781 is currently active in the NPPES registry. Verify at CMS.
Neuropathology · NEW HAVEN, CT
Registration Details
- NPI Number
- 1609295781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2014 (12.187028482811 yrs)
- Last Updated
- Nov 2, 2020
- Licenses
-
64362 (CT)64362 (CT)
Practice Information
- Address
-
310 CEDAR STNEW HAVEN, CT, 065103218Browse CT providers · Browse ZIP 06510
- Phone
- 2037853624
- Primary Specialty
-
Neuropathology
207ZN0500X
- Additional Specialty
- Neuropathology
Other Neuropathology Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| DR. PALLAVI PADMAPRIYA GOPAL | MD | 1316171762 |
| DECLAN MCGUONE | MBCHB | 1972885010 |
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.