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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 032190 | CT | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
116 E CENTER ST SUITE 19 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5215 |
| 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 |
| 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 Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| 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 | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| 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.