Mark S Distefano, MD
Emergency Medicine in Worcester, Massachusetts
1831232230- Practice location
- Vernon Medical Center, 10 Winthrop Street, Worcester, MA 01604
- Phone
- 508-756-4247
- Fax
- —
- Last updated
- July 8, 2007
Mark S Distefano is an Emergency Medicine based in Worcester, MA. Mark S Distefano practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Mark S Distefano is 1831232230 and holds a License No. 47612 (MA). The current practice location address for Mark S Distefano is Vernon Medical Center, 10 Winthrop Street, Worcester, MA 01604 and can be reached out via phone at 508-756-4247.
Provider Profile Details
- NPI Number
- 1831232230
- Provider Name
- Mark S Distefano
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Vernon Medical Center, 10 Winthrop Street, Worcester, MA 01604
- Phone Number
- 508-756-4247
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 15, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Vernon Medical Center
10 Winthrop Street
Worcester, MA 01604 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604
- Phone Number
- 508-756-4247
Provider Business Mailing Address Details
- Address
- Vernon Medical Center
10 Winthrop Street
Worcester, MA 01604 - City
- Worcester
- State
- MA
- Zip
- 01604
- Phone Number
- 508-756-4247
License Information
- License Number
- 47612
- License State
- MA
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mark S Distefano, MD?
The NPI number of Mark S Distefano, MD is 1831232230. It was assigned on February 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Mark S Distefano, MD?
Mark S Distefano, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 47612.
Where does Mark S Distefano, MD practice?
The practice location is Vernon Medical Center, 10 Winthrop Street, Worcester, MA 01604. The office can be reached at 508-756-4247 (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 1831232230 directly on the NPPES registry website.