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Mr. Leo Joseph Distefano III, MD
Pediatric Adolescent Medicine Physician in West Hartford, Connecticut
NPI 1760453724

Leo Joseph Distefano III is a Pediatric Adolescent Medicine Physician based in West Hartford, CT and is specialized in Adolescent Medicine. Leo Joseph Distefano III practices in West Hartford, CT and has the professional credentials of MD. The NPI Number for Leo Joseph Distefano III is 1760453724 and holds a License No. 033656 (Connecticut).

The current practice location address for Leo Joseph Distefano III is 970 Farmington Avenue, West Hartford, CT and can be reached out via phone at 860-561-4300 and via fax at 860-561-1635. You can also correspond with Leo Joseph Distefano III through the mailing address at 970 FARMINGTON AVENUE, WEST HARTFORD, CT - 06107 (mailing address contact number: 860-561-4300).

Location: 970 Farmington Avenue, West Hartford, CT, 06107
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Provider Profile Details
NPI Number
1760453724
Provider Name
Leo Joseph Distefano III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
970 Farmington Avenue, West Hartford, CT, 06107
Phone Number
860-561-4300
Fax Number
860-561-1635
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
735010 01 CT CONNECTICARE
00133656100 05 CT
01003365CT01 01 CT ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
970 Farmington Avenue
City
State
Zip
06107
Phone Number
860-561-4300
Fax Number
860-561-1635
person
Provider Business Mailing Address Details
Address
970 Farmington Avenue
City
State
Zip
06107
Phone Number
860-561-4300
Fax Number
860-561-1635
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
033656 (Connecticut)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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