Individual
DANIELE SEBASTIANO RESTIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072375
IL
207R00000X
Internal Medicine Physician
Primary
287092
MA
390200000X
Student in an Organized Health Care Education/Training Program
125-072375
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
09/08/2021
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