Individual
DR. NATAKI CELESTE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 BERGEN ST # C, NEWARK, NJ 07103-2425
(973) 972-2700
(973) 972-2739
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
229491
NY
Other
Enumeration date
06/04/2008
Last updated
01/26/2022
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