Search › New Jersey › 111NS0005X
Robert Destefano, D.C
NPI 1942345020 · on the registry since 2007 · sole proprietor
Practice
- Address
- 361 Garibaldi Ave
Lodi, NJ 07644 - Phone
- (973) 777-9040
- Fax
- (973) 777-5262
- Organisation at this address
- Lodi Internist Group Pa
Careccia Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111NS0005X
111NS0005X
- Also registered as
- 111NS0005X
- Licence states on file
- NJ, NY
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