Individual provider · NPI-1

Donald Frank Distel, M.D.

Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine · West Roxbury, MA

NPI number1508156258
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1508156258
Entity type
Individual (NPI-1)
Name
Mr. Donald Frank Distel
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2011
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine1025063MAYes
208100000X Physical Medicine & Rehabilitation1025063MA

Practice location

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Phone 857-203-6455

Mailing address

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Phone 857-203-6455 · Fax 857-203-5553

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