Distefano, Michael Charles
Distefano, Michael Charles is an individual health care provider with primary practice located at 140 Route 17 North Suite 255, Paramus NJ 07652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Distefano, Michael Charles can be contacted via phone (201) 261-5501.Contact Information
Primary practice address
140 Route 17 North Suite 255
Paramus NJ 07652
Phone: (201) 261-5501
Fax: (201) 261-3350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MA04126600 | New Jersey |
Profile Details
| NPI number | 1407883887 |
|---|---|
| LBN Legal business name | Distefano, Michael Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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