SearchNew Jersey2255A2300X

Robert Destefano, ATC

NPI 1285742700 · on the registry since 2006 · sole proprietor

Practice

Address
711 Hooper Ave
Toms River, NJ 08753
Phone
(734) 349-8801
Fax
(732) 914-2474

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey