Robert C Distefano, DMD is a
Dentist based in Farmingdale, New Jersey. Robert C Distefano is licensed to practice in New Jersey (license number D116236) and his current practice location is
3 Southard Avenue, Farmingdale, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 938-2800.
NPI number for Robert C Distefano is 1437350972 and his current mailing address is 3 Southard Avenue, Farmingdale, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437350972.
Healthcare Provider's Profile
| Full Name | Robert C Distefano |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 3 Southard Avenue, Farmingdale, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437350972
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert C Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437350972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D116236 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert C Distefano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert C Distefano, DMD
3 Southard Avenue,
Farmingdale, NJ 07727-1208
Ph: (732) 938-2800 | Robert C Distefano, DMD
3 Southard Avenue,
Farmingdale, NJ 07727-1208
Ph: (732) 938-2800 |
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