| Mr Thomas J Destefano, PA-C | |
|
429 Industrial Park Dr, Pbg Health And Wellness Center, Johnstown, PA 15904 | |
| (814) 262-1219 | |
| (814) 262-1259 |
| Full Name | Mr Thomas J Destefano |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 429 Industrial Park Dr, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043316870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA002812L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas J Destefano, PA-C 429 Industrial Park Dr, Pbg Health And Wellness Center, Johnstown, PA 15904 Ph: (814) 262-1219 | Mr Thomas J Destefano, PA-C 429 Industrial Park Dr, Pbg Health And Wellness Center, Johnstown, PA 15904 Ph: (814) 262-1219 |
John Kline, PTA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Broad St, Johnstown, PA 15906 Phone: 814-535-6000 | |
Christina Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, E3, Johnstown, PA 15905 Phone: 814-534-5592 Fax: 814-534-9975 | |
Kelli Rae Slonka, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9000 | |
Josie F Helsel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 | |
David R Nevarre, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 Napoleon Pl, Johnstown, PA 15901 Phone: 814-536-9000 | |
Mr. Kevin Joseph Green, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 1450 Scalp Ave, Suite 106, Johnstown, PA 15904 Phone: 814-266-8466 Fax: 814-266-0177 |