Vincent Distefano, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD028996L Issued in PA

Legal business name

VINCENT DISTEFANO, MD PC

Practice address

860 W. Lancaster Avenue
Devon, PA 19333-1316

Phone

(610) 687-1400

Fax

(610) 687-1065

NPI assigned

Mar 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent Distefano

Title

Office Manager

Phone

(610) 687-1400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1679605950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 W. LANCASTER AVENUE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331316",
            "telephone_number": "610-687-1400",
            "fax_number": "610-687-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W. LANCASTER AVENUE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331316",
            "telephone_number": "610-687-1400",
            "fax_number": "610-687-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT DISTEFANO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-687-1400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD028996L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Theresa Wann

• Orthopaedic Surgery Physician in Devon, PA
• Providers in Devon, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.