Mr. Leo J Distefano III, MD
Pediatrics, Adolescent Medicine in West Hartford, Connecticut
1760453724- Practice location
- 970 Farmington Avenue, Suite 201, West Hartford, CT 06107
- Phone
- 860-561-4300
- Fax
- 860-561-1635
- Last updated
- July 13, 2026
Leo Joseph Distefano is a Pediatrics, Adolescent Medicine based in West Hartford, CT. Leo Joseph Distefano practices in West Hartford, CT and has the professional credentials of MD. The NPI Number for Leo Joseph Distefano is 1760453724 and holds a License No. 033656 (CT). The current practice location address for Leo Joseph Distefano is 970 Farmington Avenue, Suite 201, West Hartford, CT 06107 and can be reached out via phone at 860-561-4300 and via fax at 860-561-1635.
Provider Profile Details
- NPI Number
- 1760453724
- Provider Name
- Leo Joseph Distefano
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 970 Farmington Avenue, Suite 201, West Hartford, CT 06107
- Phone Number
- 860-561-4300
- Fax Number
- 860-561-1635
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 30, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 970 Farmington Avenue
Suite 201
West Hartford, CT 06107 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107
- Phone Number
- 860-561-4300
- Fax Number
- 860-561-1635
Provider Business Mailing Address Details
- Address
- 970 Farmington Avenue
Suite 201
West Hartford, CT 06107 - City
- West Hartford
- State
- CT
- Zip
- 06107
- Phone Number
- 860-561-4300
- Fax Number
- 860-561-1635
License Information
- License Number
- 033656
- License State
- CT
- Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Adolescent Medicine providers near West Hartford, CT
View all Pediatrics, Adolescent Medicine providers in West Hartford →- Dr. Allyson N Duffy, MDPediatrics, Adolescent Medicine · NPI 1154399202
- Dr. Margaret M O'Neill, MDPediatrics, Adolescent Medicine · NPI 1942319157
- Dr. Sarah Elbaum, MDPediatrics, Adolescent Medicine · NPI 1720202922
- Dr. Tilak C Gooneratne, MDPediatrics, Adolescent Medicine · NPI 1265400329
- Mrs. Della M Corcoran, MDPediatrics, Adolescent Medicine · NPI 1396716353
- Pedicorp, PCPediatrics, Adolescent Medicine · NPI 1952581928
Frequently Asked Questions
What is the NPI number of Mr. Leo J Distefano III, MD?
The NPI number of Mr. Leo J Distefano III, MD is 1760453724. It was assigned on January 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Leo J Distefano III, MD?
Mr. Leo J Distefano III, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in CT under license number 033656.
Where does Mr. Leo J Distefano III, MD practice?
The practice location is 970 Farmington Avenue, Suite 201, West Hartford, CT 06107. The office can be reached at 860-561-4300 (phone) or 860-561-1635 (fax).
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 1760453724 directly on the NPPES registry website.