Michael Distefano, M.d., P.a.
NPI #1902101710 in Paramus, New Jersey
Provider Information
- NPI Number
- 1902101710
- Entity Type
- Organization
- Organization Name
- Michael Distefano, M.d., P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MICHAEL DISTEFANO, M .D., P.A.
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jan 26, 2011
- Last Updated
- Jun 10, 2011
Practice Location
- Address
- 140 N RTE 17
- Address 2
- SUITE 205
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-2809
- Phone
- (201) 261-5501
Authorized Official
- Name
- MRS. MARYANNE VITIELLO
- Title
- PRACTICE MANAGER
- Phone
- (201) 261-5501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
| Orthopaedic Surgery |
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