Individual
MICHAEL F CELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10007997
DE
208000000X
Pediatrics Physician
MD 434313
PA
208D00000X
General Practice Physician
C10007997
DE
208D00000X
General Practice Physician
MD 434313
PA
208M00000X
Hospitalist Physician
C10007997
DE
208M00000X
Hospitalist Physician
MD434313
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137774
—
NJ
05
—
101999082
—
PA
05
—
413086300
—
MD
Enumeration date
02/21/2007
Last updated
12/27/2011
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