Distasio, Marcello Michael

Distasio, Marcello Michael is an individual health care provider with primary practice located at 310 Cedar St , New Haven CT 06510-3218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Distasio, Marcello Michael can be contacted via phone (203) 785-3624.

Contact Information

Primary practice address
310 Cedar St New Haven CT 06510-3218
Phone: (203) 785-3624
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 64362 Connecticut
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 64362 Connecticut

Profile Details

NPI number 1609295781
LBN Legal business name Distasio, Marcello Michael
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Nov 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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