Individual
MICHAEL WILLIAM DESTEFANO
Active
Individual
MICHAEL WILLIAM DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MICHAEL DESTEFANO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10390300
NJ
2085R0202X
Diagnostic Radiology Physician
278012-1
NY
Other
Enumeration date
06/17/2010
Last updated
04/12/2023
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