Anthony J Distasio in Norfolk - Orthopaedic Trauma

Anthony J Distasio - NPI 1831195353

Anthony J Distasio is a Orthopaedic Trauma in Norfolk, Virginia. Anthony J Distasio practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Anthony J Distasio is 1831195353. The last update date is 2020-04-14.

Anthony J Distasio's current location address is 600 Gresham Dr Ste 204, Norfolk, Virginia. You can contact this provider via phone number 7573885680 and fax number 7573885681. The mailing address for Anthony J Distasio is 600 Gresham Dr Ste 204, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony J Distasio
Address 600 Gresham Dr Ste 204, Norfolk, Virginia
Phone Number 7573885680
Fax Number 7573885681
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1831195353
Provider Enumeration Date 2005-06-21
Last Updated Date 2020-04-14

Provider Mailing Address Detail

Address 600 Gresham Dr Ste 204
City Norfolk
State Virginia (VA)
Post Code 2350719040
Phone Number 7573885680
Fax Number 7573885681

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Trauma
Taxonomy 207Xx0801X
Licence No 101041449
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7306091 VA --

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FAQs about Anthony J Distasio

What is the unique identifier code issued to Anthony J Distasio by the Centers for Medicare & Medicaid Services?

The Anthony J Distasio has been assigned the NPI (National Provider Identifier) 1831195353. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Anthony J Distasio is physically located?

The Anthony J Distasio is physically situated at the following address: 600 Gresham Dr Ste 204, Norfolk, VA, 2350719040.

What is Anthony J Distasio's specialized field of practice, and what is the corresponding taxonomy classification code?

The Anthony J Distasio's area of specialization is Orthopaedic Trauma, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0801X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1831195353 to Anthony J Distasio?

The Centers for Medicare & Medicaid Services originally issued the 1831195353 to Anthony J Distasio on 2005-06-21.

As of what date was the information pertaining to Anthony J Distasio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Anthony J Distasio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-14.

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