Individual
KATHERINE ANNE DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 DEVINE ST, SUITE 2B, NORTH HAVEN, CT 06473-2195
(203) 287-6100
(203) 287-6101
Mailing address
6 DEVINE ST, SUITE 2B, NORTH HAVEN, CT 06473-2195
(203) 287-6100
(203) 287-6101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
53818
CT
Other
Enumeration date
04/16/2010
Last updated
12/03/2015
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