Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD439985 | PA |
Y | 111NI0900X | Internist | MD439985 | PA |
N | 207RC0200X | Critical Care Medicine | MD439985 | PA |
N | 207RP1001X | Pulmonary Disease | 153557 | MA |
N | 207RP1001X | Pulmonary Disease | MD439985 | PA |
N | 2080P0214X | Pediatric Pulmonologist | MD439985 | PA |
NPI | 1629067186 |
---|---|
Provider Name | Dr. Juan C Celedon |
First Address | Pittsburgh, PA 15224-1529 |
Second Address | Pittsburgh, PA 15224-1529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 29/03/2013 |