| Joseph Distefano, Dmd, Pc | |
|
733 Bloomfield Ave. Bloomfield NJ 07003 | |
| (973) 748-8450 | |
| (973) 748-8934 |
| Full Name | Joseph Distefano, Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 733 Bloomfield Ave., Bloomfield, New Jersey |
| Authorized Official Name and Position | Joseph M. Distefano (OWNER/PRESIDENT) |
| Authorized Official Contact | 9737488450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Distefano, Dmd, Pc 733 Bloomfield Ave Bloomfield NJ 07003 Ph: (973) 748-8450 | Joseph Distefano, Dmd, Pc 733 Bloomfield Ave. Bloomfield NJ 07003 Ph: (973) 748-8450 |
| NPI Number | 1629220223 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629220223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8974 (New Jersey) | Primary |
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