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1407883887
MICHAEL CHARLES DISTEFANO
PARAMUS, NJ
NPI
1407883887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NJ MA04126600)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
-- MICHAEL CHARLES DISTEFANO MD
140 ROUTE 17 NORTH SUITE 255
PARAMUS, NJ 07652
Phone number: 201-261-5501
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Mailing Address
-- MICHAEL CHARLES DISTEFANO MD
140 ROUTE 17 NORTH SUITE 255
PARAMUS, NJ 07652
Phone number: 201-261-5501
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