Organization
JOSEPH L DESTEFANO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L DESTEFANO MD (OWNDER)
(609) 652-2516
Entity
Organization
Contact information
Practice address
53 W WHITE HORSE PIKE, GALLOWAY, NJ 08205-9450
(609) 652-2516
(609) 652-2519
Mailing address
53 W WHITE HORSE PIKE, GALLOWAY, NJ 08205-9450
(609) 652-2516
(609) 652-2519
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MA25990
NJ
Other
Enumeration date
01/18/2007
Last updated
12/17/2007
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