Individual provider · Type 1 NPI
Tony Distefano, DPM
Foot & Ankle Surgery Podiatrist · Morristown, NJ
NPI number
1851389373
Active
Practice location
95 Madison Ave
Morristown, NJ 07960-6092
Fax (973) 285-7618
Mailing address
234 Stelton Road
Piscataway, NJ 08854-3244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | MD002584 (NJ) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00258400 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1851389373
Tony Distefano, DPM's National Provider Identifier is 1851389373, issued on Oct 10, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Morristown, NJ. The record was last updated on Jul 21, 2022.