Individual
ED J DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 APPLETREE ST, 7TH FLOOR, PHILADELPHIA, PA 19106-1526
(856) 356-4025
Mailing address
601 CHAPEL AVE E, CHERRY HILL, NJ 08034-1454
(856) 356-4025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN259564L
PA
Other
Enumeration date
11/16/2006
Last updated
10/01/2014
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