Individual
MR. ROBERT K DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
711 HOOPER AVE, TOMS RIVER, NJ 08753-7716
(734) 349-8801
(732) 914-2474
Mailing address
553 MARTIN RD, TOMS RIVER, NJ 08753-6067
(732) 506-6491
(732) 914-2474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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