HomeNPI Verification

NPI Verification

National Provider Identifier: 1063646552

Anthony Distefano, Jr MD

Organization

Primary Specialty

Family Medicine, Adult Medicine

Code: 207QA0505X

Practice Address

562 LINCOLN ST

WORCESTER, MA 016051916

Phone: 508-852-6028

NPI Enumeration Date

May 12, 2009

NPI Number

1063646552

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry