Gerard Distefano
NPI #1144646795 in Charlestown, Massachusetts
Provider Information
- NPI Number
- 1144646795
- Entity Type
- Individual
- Name
- Gerard Distefano
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Mar 6, 2014
- Last Updated
- Mar 6, 2014
Practice Location
- Address
- 529 MAIN ST STE 100
- City
- Charlestown
- State
- Massachusetts
- ZIP Code
- 02129-1119
- Phone
- (857) 998-1012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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