SearchNew Jersey103TS0200X

Nicole Distefano

NPI 1730804006 · on the registry since 2022

Practice

Address
159 Harding Ave
Clifton, NJ 07011
Phone
(201) 898-1490

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-07

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