ANDRA DAWN DISTEFANO

BALTIMORE, MD
NPI1144421975
Former NameANDRA DAWN MARIOTTI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MD  D0070662)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CA  A103969)
207R00000X Internal Medicine
(Licence: PA  MT188256)
Enumeration Date2007-05-30
Last Update Date2021-06-07
Business Address
Dr. ANDRA DAWN DISTEFANO MD
22 S GREENE ST SUITE S11C07
BALTIMORE, MD 21201-1544
Phone number: 410-328-9909
Mailing Address
Dr. ANDRA DAWN DISTEFANO MD
1202 SOUTHVIEW RD
BALTIMORE, MD 21218-1400
Phone number: