Michael Distefano, M.d., P.a.
NPI #1477736270 in Paramus, New Jersey
Provider Information
- NPI Number
- 1477736270
- Entity Type
- Organization
- Organization Name
- Michael Distefano, M.d., P.a.
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Dec 14, 2007
- Last Updated
- May 12, 2011
Practice Location
- Address
- 140 N RTE 17
- Address 2
- SUITE 255
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-2809
- Phone
- (201) 261-5501
Authorized Official
- Name
- MICHAEL DISTEFANO, M.D.
- Title
- OWNER
- Phone
- (201) 261-5501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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