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1568430361
ANTHONY DISTEFANO
MANCHESTER, CT
NPI
1568430361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CT 032190)
Enumeration Date
2006-03-09
Last Update Date
2007-07-08
Business Address
Dr. ANTHONY DISTEFANO MD
116 E CENTER ST SUITE 19
MANCHESTER, CT 06040-5215
Phone number: 860-643-2731
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Mailing Address
Dr. ANTHONY DISTEFANO MD
116 E CENTER ST SUITE 19
MANCHESTER, CT 06040-5215
Phone number: 860-643-2731
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