NPI 1013357383
Joseph Distefano, DPM
Practice location
- Address
- 3325 Shallowford Rd STE 200, Marietta, GA 30062
- Phone
- (770) 999-0804
- Mailing address
- 3225 Shallowford Rd STE 200, Marietta, GA 30062-1288
Registered specialties (2)
Foot & Ankle Surgery Podiatrist
Primary
Foot & Ankle Surgery Podiatrist
Registry record
- NPI
- 1013357383
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jul 2013
- Record last updated
- 9 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.