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Individual

DR. STEPHEN MICHEAL DEFUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5154 LIBERTY AVE, PITTSBURGH, PA 15224-2256
(412) 688-8446
(412) 688-8447
Mailing address
5154 LIBERTY AVE, PITTSBURGH, PA 15224-2256
(412) 688-8446
(412) 688-8447

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024049-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE 94531
B/S #
PA
Enumeration date
09/25/2006
Last updated
07/08/2007
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