DR. Kenneth L Distefano SR., MD
NPI #1346324852 in Verona, New Jersey
Provider Information
- NPI Number
- 1346324852
- Entity Type
- Individual
- Name
- DR. Kenneth L Distefano SR., MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Plastic Surgery
- Credential
- MD
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 1 MOUNT PROSPECT AVE
- City
- Verona
- State
- New Jersey
- ZIP Code
- 07044-2707
- Phone
- (973) 239-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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