DR. ANTHONY DISTEFANO


Address: 116 E Center St, Suite 19, Manchester, CT 06040-5215
Phone: 8606432731

DR. ANTHONY DISTEFANO (NPI# 1568430361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568430361
Entity Type Individual
Full Name DR. ANTHONY DISTEFANO
Credential MD
Practice Address 116 E Center St
Suite 19
Manchester
CT 06040-5215
Practice Telephone 8606432731
Practice Fax Number 8606436707
Mailing Telephone 8606432731
Mailing Fax Number 8606436707
Enumeration Date 2006-03-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 032190 CT Allopathic & Osteopathic Physicians

Other Providers ANTHONY DISTEFANO

NPI Name Taxonomy Address Enumeration
1174003230 Anthony Michael Distefano Physical Therapy Assistant 910 Foulk Rd Ste 100, Wilmington, DE 19803-3158 2018-08-17
1790839199 Anthony J Distefano IIi Dentist 562 Lincoln St, Worcester, MA 01605-1916 2007-01-22
1922272285 Anthony Distefano Counselor 175 Remsen St, Suite 300, Brooklyn, NY 11201-4300 2008-04-17

Office Location

Street Address 116 E CENTER ST
SUITE 19
City MANCHESTER
State CT
Zip Code 06040-5215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942276977 Arthur E. Lamontagne Jr. Urology 116 E Center St, Manchester, CT 06040-5215 2006-02-28
1174705313 David Jeremy Rosenberg Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-11-29
1902004765 Surgical Associates of Eastern Connecticut LLC Surgery 116 E Center St, Suite 12, Manchester, CT 06040-5215 2007-07-03
1821295296 Kristin Lund Neurological Surgery 116 E Center St, Suite 10, Manchester, CT 06040-5215 2007-06-29
1821204579 Associated Urologists PC Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-05-16
1346386828 Harry Anderson Surgery 116 E Center St, Suite 14, Manchester, CT 06040-5215 2007-01-30
1356411284 Surgical Specialties of Eastern Ct LLC Surgery 116 E Center St, Suite 14, Manchester, CT 06040-5215 2006-11-08
1588694210 Donna M. Boccelli Podiatrist 116 E Center St, Suite 10, Manchester, CT 06040-5215 2006-07-05
1386612182 Thomas E Staley Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2006-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501333 Mackenzie Lawler Social Worker 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 2020-05-29
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1346881596 Sheryl Andrine Henry Technician 185 Pine Street, Apt 014, Manchester, CT 06040 2019-09-30
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1538689534 Bernard Ashirifie Counselor 869 Main Street, Apt 3, Manchester, CT 06040 2017-06-21
1497275697 Justin David Chung Dentist 483 Middle Tpke W Ste 209, Manchester, CT 06040 2017-06-20
1114473436 Amanda Edgar Counselor 469 Center Street, Manchester, CT 06040 2016-08-28
1760831366 Samantha Micael Marriage & Family Therapist 200 West Center Street, Suite C-2-6, Manchester, CT 06040 2016-06-06
1962856179 Odelia Brew Nurse Practitioner 256 Hackmatack Street, Manchester, CT 06040 2016-04-14
1306217765 Stephen R Machattie Social Worker 843 Main St Ste 11, Manchester, CT 06040 2015-10-12
Find all providers in zip 06040

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689842544 Sidney Robert Katz Urology 781 Smyth Rd, Va Medicalcenter, Manchester, NH 03104 2008-02-13
1639260847 Derrick S Tooth Urology 1053 Western Ave, Manchester, ME 04351-3403 2006-09-27
1396852786 Armando E Lopez Urology 718 Smyth Rd Fl 3, Manchester, NH 03104 2006-08-23
1588622757 Cyrus B Noble Urology 4 Elliot Way Ste 200, Manchester, NH 03103-3544 2006-05-03
1942276977 Arthur E. Lamontagne Jr. Urology 116 E Center St, Manchester, CT 06040-5215 2006-02-28
1922089903 Gary Douglas Corrie Urology 822 Mcarthur St, Manchester, TN 37355 2005-11-08
1003475914 Jason Akerman Urology 100 Hitchcock Way, Manchester, NH 03104-4125 2019-06-13
1578805164 John James Griffith Urology 360 Tolland Tpke, Manchester, CT 06042 2013-03-21
1699091546 Trisha Juliano Kammann Urology 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2010-04-18
1174705313 David Jeremy Rosenberg Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-11-29
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 06040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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