Thomas Distefano, DMD

NPI 1538327200 · on the registry since 2008 · sole proprietor

Practice

Address: 25 Mountainview Blvd Ste 205
Basking Ridge, NJ 07920
Phone: (908) 604-0200
Fax: (908) 686-6301
Organisation at this address: Riverwalk Physical Therapy, Llc
Basking Ridge Pediatric Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-08-25

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