SearchNew Jersey207L00000X

Kelly Distefano, M.D

NPI 1679511000 · on the registry since 2006

Practice

Address
619 River Dr
Elmwood Park, NJ 07407
Phone
(201) 703-2900
Organisation at this address
Leonid Lamper Md Pc
World Travel Services
Phillips Eye Center Pa
Pain Management Institute Pa
River Drive Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 1037 Route 46, Clifton, NJ
  • 475 Prospect Ave, West Orange, NJ
  • 1037 Route 46, Clifton, NJ
  • 562 Easton Ave, Somerset, NJ

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-24

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