Distefano, Arcangelo

Distefano, Arcangelo is an individual health care provider with primary practice located at 3180 Main St Suite 301, Bridgeport CT 06606-4237. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Distefano, Arcangelo can be contacted via phone (203) 373-9100.

Contact Information

Primary practice address
3180 Main St Suite 301 Bridgeport CT 06606-4237
Phone: (203) 373-9100
Fax: (203) 365-8492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 028828 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 028828 Connecticut

Profile Details

NPI number 1902869415
LBN Legal business name Distefano, Arcangelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated May 31st, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902869415 NPPES
Connecticut MEDICAID 001288283

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