Dr. KENNETH L DISTEFANO Sr. MD
Individual Provider (NPI-1)
Active
Plastic Surgery
Provider Information
- NPI Number
1346324852- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1 MOUNT PROSPECT AVE, VERONA, NJ, 070442707
- Phone
- (973) 239-7777
- Fax
- (973) 239-7082
Specialties & Taxonomies
Plastic Surgery
Primary License: NJ #25ma02454300