Distefano, Kenneth L

Distefano, Kenneth L is an sole proprietor health care provider with primary practice located at 1 Mount Prospect Ave , Verona NJ 07044-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Distefano, Kenneth L can be contacted via phone (973) 239-7777.

Contact Information

Primary practice address
1 Mount Prospect Ave Verona NJ 07044-2707
Phone: (973) 239-7777
Fax: (973) 239-7082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25MA02454300 New Jersey

Profile Details

NPI number 1346324852
LBN Legal business name Distefano, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Sep 6th, 2023 - about last year

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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