Dr. Nicholas John Distefano, DMD - Hartford, CT

Dr. Nicholas John Distefano, DMD

Student in an Organized Health Care Education/Training Program in Hartford, Connecticut

NPI 1255780672

Nicholas John Distefano is a Student in an Organized Health Care Education/Training Program based in Hartford, CT. Nicholas John Distefano practices in Hartford, CT and has the professional credentials of DMD. The NPI Number for Nicholas John Distefano is 1255780672 and holds a License No. (Connecticut).

The current practice location address for Nicholas John Distefano is 80 Seymour St, Hartford, CT and can be reached out via phone at 860-545-5000.

Location: 80 Seymour St, Hartford, CT, 06102-8000

NPI Number

1255780672

Provider Name

Nicholas John Distefano

Credential

DMD

Provider Entity Type

Individual

Gender

Male

Address

80 Seymour St, Hartford, CT, 06102-8000

Phone Number

860-545-5000

Fax Number

Provider Enumeration Date

06/07/2016

Last Update Date

03/09/2024

Address

80 Seymour St

City

Hartford

State

Connecticut

Zip

06102-8000

Phone Number

860-545-5000

Fax Number

Address

80 Seymour St

City

Hartford

State

Connecticut

Zip

06102-8000

Phone Number

860-545-5000

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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