Thomas J Destefano in Johnstown - Medical
Thomas J Destefano - NPI 1043316870
Thomas J Destefano is a Medical in Johnstown, Pennsylvania. Thomas J Destefano practices all healthcare services and medical treatments related to Medical. The NPI Number for Thomas J Destefano is 1043316870. The last update date is 2008-08-25.
Thomas J Destefano's current location address is 429 Industrial Park Dr, Johnstown, Pennsylvania. You can contact this provider via phone number 8142621219 and fax number 8142621259. The mailing address for Thomas J Destefano is 429 Industrial Park Dr, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas J Destefano |
|---|---|
| Address | 429 Industrial Park Dr, Johnstown, Pennsylvania |
| Phone Number | 8142621219 |
| Fax Number | 8142621259 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043316870 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2008-08-25 |
Provider Mailing Address Detail
| Address | 429 Industrial Park Dr |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 15904 |
| Phone Number | 8142621219 |
| Fax Number | 8142621259 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA002812L |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Thomas J Destefano by the Centers for Medicare & Medicaid Services?
The Thomas J Destefano has been assigned the NPI (National Provider Identifier) 1043316870 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Thomas J Destefano's physical address?
The Thomas J Destefano is physically located at 429 Industrial Park Dr, in the city of Johnstown, PA, with the postal code 15904.
What is Thomas J Destefano's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thomas J Destefano is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043316870 to Thomas J Destefano?
The Thomas J Destefano received its 1043316870 assignment from the Centers for Medicare & Medicaid Services on 2006-09-16.
When was the information regarding Thomas J Destefano most recently updated?
The details pertaining to the Thomas J Destefano, including its address, specialty, and other relevant information, were last refreshed on 2008-08-25.