Individual
JACKIE CELESTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35095446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120143
—
OH
Enumeration date
12/26/2007
Last updated
11/25/2011
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