| NPI | 1902101710 |
|---|---|
| Doing Business As | MICHAEL DISTEFANO, M.D., P.A., DEPARTMENT OF PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARYANNE VITIELLO Practice Manager 201-261-5501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-06-10 |