Individual
MICHAEL CHARLES DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 ROUTE 17 NORTH, SUITE 255, PARAMUS, NJ 07652
(201) 261-5501
(201) 261-3350
Mailing address
140 ROUTE 17 NORTH, SUITE 255, PARAMUS, NJ 07652
(201) 261-5501
(201) 261-3350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA04126600
NJ
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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