Anthony Distefano, Jr MD
Anthony Distefano, Jr MD is an Adult Medicine Physician in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.
- Licensed in
- MA
- In the registry since
- 2009
Practice location Address checks out
562 Lincoln StWorcester, MA 01605-1916
Phone: (508) 852-6028
Fax: (508) 721-7821
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Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 21567 (MA) |
|---|
Record details
| NPI number | 1063646552 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Distefano — Owner · (508) 852-6028 |
| NPI enumerated | May 12, 2009 |
| Last updated in NPPES | May 12, 2009 |
| Mailing address | 562 Lincoln St, Worcester, MA 01605-1916 |
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