Michael Charles Distefano, MD

NPI #1407883887 in Paramus, New Jersey

Provider Information

NPI Number: 1407883887
Entity Type: Individual
Name: Michael Charles Distefano, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jun 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 140 ROUTE 17 NORTH
Address 2: SUITE 255
City: Paramus
State: New Jersey
ZIP Code: 07652
Phone: (201) 261-5501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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