Organization
MICHAEL DISTEFANO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DISTEFANO M.D. (OWNER)
(201) 261-5501
Entity
Organization
Contact information
Practice address
140 N RTE 17, SUITE 255, PARAMUS, NJ 07652-2809
(201) 261-5501
(201) 261-3350
Mailing address
140 N RTE 17, SUITE 205, PARAMUS, NJ 07652-2809
(201) 261-5501
(201) 261-3350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
05/12/2011
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