ANTHONY DISTEFANO, JR MD is an adult medicine family medicine in Worcester, MA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ANTHONY DISTEFANO, JR MD NPI is 1063646552. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
562 LINCOLN ST
WORCESTER, MA
ZIP 01605-916
Phone: (508) 852-6028
Fax: (508) 721-7821
The provider's authorized official is Anthony J Distefano .
The authorized official title is Owner and has the following contact phone number (508) 852-6028.
The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.