DR. Nicholas John Distefano, D.M.D. is a student in an organized health care education training program in Hartford, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Nicholas John Distefano, D.M.D. NPI is 1255780672. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
80 SEYMOUR ST
HARTFORD, CT
ZIP 06102-000
Phone: (860) 545-5000
The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.