OrganizationActive
Anthony Distefano, Jr MD
NPI 1063646552 · Adult Medicine Physician · Worcester, MA
Provider details
- NPI number
- 1063646552
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Anthony Distefano, Owner
- License
- 21567 (MA)
Practice location
562 Lincoln St
Worcester, MA 01605-1916
Phone: (508) 852-6028
Fax: (508) 721-7821
Mailing address
562 Lincoln St
Worcester, MA 01605-1916
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2009-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.