Individual
CONSTANTINO DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
189 MAIN ST, NORWALK, CT 06851-3607
(203) 845-0616
Mailing address
189 MAIN ST, NORWALK, CT 06851-3607
(203) 845-0616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5945
CT
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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