Individual
FRANK SAMUEL CELESTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21847
BLUE CROSS
NC
01
—
21975
MEDCOST
NC
01
—
4670497
AETNA
—
05
—
5631807
—
VA
01
—
6803
PARTNERS
NC
05
—
8921847
—
NC
Enumeration date
12/02/2005
Last updated
06/28/2010
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