Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT L DESTEFANO, D.C.
Active Sole ProprietorDR. ROBERT L DESTEFANO, D.C. is a Sports Physician (Chiropractor) healthcare provider located in LODI, New Jersey. NPI 1942345020 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · LODI, NJ
Registration Details
- NPI Number
- 1942345020
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.297326418078 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
38MC00336400 (NJ)X010312-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
361 GARIBALDI AVELODI, NJ, 076443709Browse NJ providers · Browse ZIP 07644
- Phone
- 9737779040
- Fax
- 9737775262
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
- Additional Specialty
- Sports Physician (Chiropractor)
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.