Dr ANTHONY J DISTASIO MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1986 from George Washington University School Of Medicine.
SPORT MEDICINE AND ORTHOPAEDIC CENTER INC
150 BURNETTS WAY
SUITE 100
SUFFOLK
VA
234348168
Tel: 7575475145
| Npi | 1831195353 |
| Pac Id | 5890735641 |
| Professional Enrollment Id | I20050511000243 |
| Last Name | DISTASIO |
| First Name | ANTHONY |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SPORT MEDICINE AND ORTHOPAEDIC CENTER INC |
| Group Practice Pac Id | 8921046616 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 150 BURNETTS WAY |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | SUFFOLK |
| State | VA |
| Zip Code | 234348168 |
| Phone Number | 7575475145 |
| Hospital Affiliation Ccn 1 | 340109 |
| Hospital Affiliation Lbn 1 | SENTARA ALBEMARLE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 490044 |
| Hospital Affiliation Lbn 2 | SENTARA OBICI HOSPITAL |
| Hospital Affiliation Ccn 3 | 490007 |
| Hospital Affiliation Lbn 3 | SENTARA NORFOLK GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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