ED J DESTEFANO

PHILADELPHIA, PA
NPI1629141544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN259564L)
Enumeration Date2006-11-16
Last Update Date2014-10-01
Business Address
-- ED J DESTEFANO CRNA
777 APPLETREE ST 7TH FLOOR
PHILADELPHIA, PA 19106-1526
Phone number: 856-356-4025
Mailing Address
-- ED J DESTEFANO CRNA
601 CHAPEL AVE E
CHERRY HILL, NJ 08034-1454
Phone number: 856-356-4025
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