person
Mr. Thomas J Destefano, PA-C
Medical Physician Assistant in Johnstown, Pennsylvania
NPI 1043316870

Thomas J Destefano is a Medical Physician Assistant based in Johnstown, PA and is specialized in Medical. Thomas J Destefano practices in Johnstown, PA and has the professional credentials of PA-C. The NPI Number for Thomas J Destefano is 1043316870 and holds a License No. MA002812L (Pennsylvania).

The current practice location address for Thomas J Destefano is 429 Industrial Park Dr, Johnstown, PA and can be reached out via phone at 814-262-1219 and via fax at 814-262-1259.

Location: 429 Industrial Park Dr, Johnstown, PA, 15904
person
Provider Profile Details
NPI Number
1043316870
Provider Name
Thomas J Destefano
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
429 Industrial Park Dr, Johnstown, PA, 15904
Phone Number
814-262-1219
Fax Number
814-262-1259
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
429 Industrial Park Dr
City
State
Zip
15904
Phone Number
814-262-1219
Fax Number
814-262-1259
person
Provider Business Mailing Address Details
Address
429 Industrial Park Dr
City
State
Zip
15904
Phone Number
814-262-1219
Fax Number
814-262-1259
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA002812L (Pennsylvania)
Definition
Definition to come...
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