Arcangelo Distefano in Bridgeport - Geriatric Medicine
Arcangelo Distefano - NPI 1902869415
Arcangelo Distefano is a Geriatric Medicine in Bridgeport, Connecticut. Arcangelo Distefano practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Arcangelo Distefano is 1902869415. The last update date is 2013-05-31.
Arcangelo Distefano's current location address is 3180 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033739100 and fax number 2033658492. The mailing address for Arcangelo Distefano is 3180 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Arcangelo Distefano |
|---|---|
| Address | 3180 Main St, Bridgeport, Connecticut |
| Phone Number | 2033739100 |
| Fax Number | 2033658492 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902869415 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2013-05-31 |
Provider Mailing Address Detail
| Address | 3180 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66064237 |
| Phone Number | 2033739100 |
| Fax Number | 2033658492 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 28828 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1288283 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Arcangelo Distefano?
The Arcangelo Distefano has been issued the NPI (National Provider Identifier) 1902869415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Arcangelo Distefano is geographically located?
The Arcangelo Distefano is physically situated at the following location: 3180 Main St, Bridgeport, CT, 66064237.
What is Arcangelo Distefano's area of expertise and its corresponding taxonomy classification?
The Arcangelo Distefano's field of specialization is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1902869415 to Arcangelo Distefano?
The Arcangelo Distefano received its 1902869415 assignment from the Centers for Medicare & Medicaid Services on 2006-04-07.
When was the Arcangelo Distefano's information last updated?
The Arcangelo Distefano's information was last updated on 2013-05-31.