NPI 1043316870 MR. THOMAS J DESTEFANO PA-C JOHNSTOWN PA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

NPI Look Up

Mr. Thomas J Destefano - NPI: 1043316870

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. THOMAS J DESTEFANO
NPI Number: 1043316870
Entity Type Code: Individual (1)
Gender: M
Credentials: PA-C
License Number: MA002812L
Business Practice Address: 429 Industrial Park Dr
Pbg Health And Wellness Center Johnstown, PA - 15904
Business Phone Number: 8142621219
Business Fax Number: 8142621259
Mailing Address: 429 Industrial Park Dr, Pbg Health And Wellness Center
JOHNSTOWN
State: PA
Postal Code: 15904
Phone Number: 8142621219
Fax Number: 8142621259
NPI Enumeration Date: 09/16/2006
NPI Last Update Date: 08/25/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: MA002812L
Healthcare Provider Taxonomy:
(Secondary)
Y
State: PA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


NPI Number Lookup by City
(For Example: San Jose)


© Npinolookup.com 2016
Disclaimer