John J Destafeno in West Chester - Ophthalmology

John J Destafeno - NPI 1912097171

John J Destafeno is a Ophthalmology in West Chester, Pennsylvania. John J Destafeno practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for John J Destafeno is 1912097171. The last update date is 2020-10-09.

John J Destafeno's current location address is 915 Old Fern Hill Rd Bldg B Ste 200, West Chester, Pennsylvania. You can contact this provider via phone number 6106961230 and fax number 6109180803. The mailing address for John J Destafeno is 915 Old Fern Hill Rd Bldg B Ste 200, West Chester, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Destafeno
Address 915 Old Fern Hill Rd Bldg B Ste 200, West Chester, Pennsylvania
Phone Number 6106961230
Fax Number 6109180803
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912097171
Provider Enumeration Date 2006-10-16
Last Updated Date 2020-10-09

Provider Mailing Address Detail

Address 915 Old Fern Hill Rd Bldg B Ste 200
City West Chester
State Pennsylvania (PA)
Post Code 193804269
Phone Number 6106961230
Fax Number 6109180803

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 2005-00363
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5901401 NC --
1019183240001 PA --

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FAQs about John J Destafeno

What is the unique identifier code issued to John J Destafeno by the Centers for Medicare & Medicaid Services (CMS)?

The John J Destafeno has been assigned the NPI (National Provider Identifier) 1912097171. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where John J Destafeno is located?

The John J Destafeno is situated at the following address: 915 Old Fern Hill Rd Bldg B Ste 200, West Chester, PA, 193804269.

What is the area of specialization for John J Destafeno, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John J Destafeno is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.

On what date did the John J Destafeno receive the assignment of its 1912097171 from the Centers for Medicare & Medicaid Services?

The John J Destafeno was issued its 1912097171 by the Centers for Medicare & Medicaid Services on 2006-10-16.

As of what date were the details related to John J Destafeno most recently updated or revised?

The information pertaining to John J Destafeno, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-09.

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