Individual
DR. ROBERT L DESTEFANO
Active
Individual
DR. ROBERT L DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00336400
NJ
111NS0005X
Sports Physician Chiropractor
X010312-1
NY
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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