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Contact Information

JOHN J DESTAFENO, MD
915 OLD FERN HILL RD BLDG B STE 200
WEST CHESTER, PA19380-4269
 Phone: 610-696-1230
 Fax: 610-696-2341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Uveitis and Ocular Inflammatory Disease

207WX0108X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOHN J DESTAFENO · (Male)

NPI # 1912097171
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 10/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2005-00363
  • PA License # MD431622
  • NC Medicaid 5901401
  • PA Medicaid 1019183240001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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