Individual
DR. ANTHONY CARMEN DISTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
655 KEARNY AVE, KEARNY, NJ 07032-2942
(201) 991-0050
Mailing address
40 JOHN ST, KEARNY, NJ 07032-1925
(201) 991-3854
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC006555500
NJ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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