National Provider Identifier Database

ANTHONY DISTEFANO, MD – NPI #1568430361
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

ANTHONY DISTEFANO, MD
116 E CENTER ST
SUITE 19
MANCHESTER, CT06040-5215
Phone: 860-643-2731
Fax: 860-643-6707
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for ANTHONY DISTEFANO

NPI Number 1568430361
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 032190
Hospital affiliation n/a

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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