| NPI | 1831688159 |
|---|---|
| Doing Business As | JOHN J DISTAZIO, D.P.M.,P.C. |
| Entity Type | Organization |
| Authorized Contact | JANICE SHEVLIN Administrative Assistant 412-461-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |