Individual
JOHN DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0009658
MD
363A00000X
Physician Assistant
Primary
C5-0012159
DE
Other
Enumeration date
07/20/2023
Last updated
10/18/2024
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