Michael Distefano, MD

NPI 1407883887 · on the registry since 2006

Practice

Address: 140 Route 17 North
Suite 255
Paramus, NJ 07652
Phone: (201) 261-5501
Fax: (201) 261-3350
Organisation at this address: Matrix Surgical Llc
Image Plastic Surgery Llc
Hand & Wrist Surgery Of Nj, Llc
Ridge Pain Medicine And Anesthesiology, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207X00000X
207X00000X
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