Dr TONY DISTEFANO is a male medical professional, specializing in Podiatry. He graduated in 1998 from Temple University School Of Medicine.
SUMMIT MEDICAL GROUP PA
1 DIAMOND HILL RD
BERKELEY HEIGHTS
NJ
079222104
Tel: 9082734300
| Npi | 1851389373 |
| Pac Id | 3173649498 |
| Professional Enrollment Id | I20100923001385 |
| Last Name | DISTEFANO |
| First Name | TONY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SUMMIT MEDICAL GROUP PA |
| Group Practice Pac Id | 5395642276 |
| Number Of Group Practice Members | 719 |
| Line 1 Street Address | 1 DIAMOND HILL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BERKELEY HEIGHTS |
| State | NJ |
| Zip Code | 079222104 |
| Phone Number | 9082734300 |
| Hospital Affiliation Ccn 1 | 310048 |
| Hospital Affiliation Lbn 1 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET |
| Hospital Affiliation Ccn 2 | 310015 |
| Hospital Affiliation Lbn 2 | MORRISTOWN MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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