Anthony Distefano, Jr MD
NPI #1063646552 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1063646552
- Entity Type
- Organization
- Organization Name
- Anthony Distefano, Jr MD
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- May 12, 2009
- Last Updated
- May 12, 2009
Practice Location
- Address
- 562 LINCOLN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605-1916
- Phone
- (508) 852-6028
Authorized Official
- Name
- ANTHONY J DISTEFANO JR., M.D.
- Title
- OWNER
- Phone
- (508) 852-6028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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