# CELESTE A. JACQUE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922278563
- **Authorized official:** SUSAN FRAGER (BILLING MANAGER)
- **Authorized official phone:** (636) 464-8422

## Contact information

- **Practice address:** 201 S LIVINGSTON AVE, SUITE 1A, LIVINGSTON, NJ 07039-4043
- **Practice address phone:** (973) 994-1500
- **Practice address fax:** (973) 994-1606
- **Mailing address:** 201 S LIVINGSTON AVE, SUITE 1A, LIVINGSTON, NJ 07039-4043
- **Mailing address phone:** (973) 994-1500
- **Mailing address fax:** (973) 994-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MA042633 | NJ | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008