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Contact Information

MARISSA DESTEFANO, PA-C
1941 LIMESTONE RD STE 101
WILMINGTON, DE19808-5413
 Phone: 302-655-9494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARISSA DESTEFANO · (Female)

NPI Number 1750103479
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/25/2024
Last updated 09/10/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0012164
  • NJ License # 25MP00947700
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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