Distefano, Anthony
Distefano, Anthony is an individual health care provider with primary practice located at 116 E Center St Suite 19, Manchester CT 06040-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Distefano, Anthony can be contacted via phone (860) 643-2731.Contact Information
Primary practice address
116 E Center St Suite 19
Manchester CT 06040-5215
Phone: (860) 643-2731
Fax: (860) 643-6707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 032190 | Connecticut |
Profile Details
| NPI number | 1568430361 |
|---|---|
| LBN Legal business name | Distefano, Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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