Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEO JOSEPH DISTEFANO III, MD
ActiveMR. LEO JOSEPH DISTEFANO III, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in WEST HARTFORD, Connecticut. NPI 1760453724 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · WEST HARTFORD, CT
Registration Details
- NPI Number
- 1760453724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.565825141608 yrs)
- Last Updated
- Jul 8, 2007
- License
-
033656 (CT)
Practice Information
- Address
-
970 FARMINGTON AVENUESUITE 201WEST HARTFORD, CT, 06107Browse CT providers · Browse ZIP 06107
- Phone
- 8605614300
- Fax
- 8605611635
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in WEST HARTFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. DELLA M CORCORAN | MD | 1396716353 |
| DR. ALLYSON N DUFFY | MD | 1154399202 |
| DR. TILAK C GOONERATNE | MD | 1265400329 |
| DR. MARGARET M O'NEILL | MD | 1942319157 |
| DR. SARAH ELBAUM | MD | 1720202922 |
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.