KELLY DISTEFANO, M.D.
Anesthesiology
Active
Individual
NPI: 1679511000
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiology | 207L00000X | Yes | MA08068600 (NJ) |
Frequently Asked Questions
NPI 1679511000 is the National Provider Identifier for KELLY DISTEFANO, M.D., a Anesthesiology provider located in Elmwood Park, NJ. This NPI was enumerated on June 4, 2006.
KELLY DISTEFANO, M.D. practices at 619 RIVER DR, Elmwood Park, NJ 07407.
Quick Facts
- NPI
- 1679511000
- Type
- Individual
- Enumerated
- Jun 4, 2006
- Last Updated
- Jul 24, 2018
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