NICHOLAS CARROLL DESTEFANO

MILLSBORO, DE
NPI1154776755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: DE  C1-0028577)
Additional Taxonomies208D00000X General Practice
(Licence: NE  30177)
Enumeration Date2016-05-02
Last Update Date2026-09-01
Business Address
NICHOLAS CARROLL DESTEFANO MD
32050 LONG NECK RD
MILLSBORO, DE 19966-6228
Phone number: 302-645-3150
Mailing Address
NICHOLAS CARROLL DESTEFANO MD
1515 SAVANNAH RD STE 200
LEWES, DE 19958-1675
Phone number: 302-645-3499