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Individual

MR. DONALD FRANK DISTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6455
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6455
(857) 203-5553

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1025063
MA
2081P0004X
Spinal Cord Injury Medicine Physician
1025063
MA

Other

Enumeration date
04/14/2011
Last updated
11/12/2025
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