Arcangelo Distefano, MD Valid NPI

Individual provider · Geriatric Medicine (Internal Medicine) Physician · Bridgeport, CT

NPI

1902869415

Type

Individual (Type 1)

Primary specialty

Geriatric Medicine (Internal Medicine) Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0300X

License number

028828 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-07

Last updated

2013-05-31