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Search › Pennsylvania › 183500000X

Stephen Destefano

NPI 1750931713 · on the registry since 2019 · sole proprietor

Practice

Address
3106 E Pleasant Valley Blvd
Altoona, PA 16601
Phone
(814) 742-8429
Organisation at this address
Kopp Drug Inc.
Rite Aid Of Pennsylvania Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-12

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 Pennsylvania