Active NPIIndividual provider

Gerard Distefano

Counselor in Charlestown, Massachusetts

NPI Number1144646795
Practice location
529 Main St Ste 100, Charlestown, MA 02129-1119
Fax
—
Last updated
March 6, 2014

Gerard Distefano is a Counselor based in Charlestown, MA. Gerard Distefano practices in Charlestown, MA. The NPI Number for Gerard Distefano is 1144646795. The current practice location address for Gerard Distefano is 529 Main St Ste 100, Charlestown, MA 02129-1119 and can be reached out via phone at 857-998-1012.

Provider Profile Details

NPI Number
1144646795
Provider Name
Gerard Distefano
Provider Entity Type
Individual
Gender
Male
Address
529 Main St Ste 100, Charlestown, MA 02129-1119
Phone Number
857-998-1012
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2014
Last Update Date
March 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
529 Main St Ste 100
Charlestown, MA 02129-1119
Zip
02129-1119
Phone Number
857-998-1012
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
529 Main St Ste 100
Charlestown, MA 02129-1119
City
Charlestown
State
MA
Zip
02129-1119

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gerard Distefano?

The NPI number of Gerard Distefano is 1144646795. It was assigned on March 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Gerard Distefano?

Gerard Distefano is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Gerard Distefano practice?

The practice location is 529 Main St Ste 100, Charlestown, MA 02129-1119. The office can be reached at 857-998-1012 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144646795 directly on the NPPES registry website.

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