Organization
EDGAR CELIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR CELIS MD (OWNER)
(617) 372-3673
Entity
Organization
Contact information
Practice address
1050 NORTHGATE DR STE 460, SAN RAFAEL, CA 94903-2542
(415) 306-7641
(415) 526-3734
Mailing address
1050 NORTHGATE DR STE 460, SAN RAFAEL, CA 94903-2542
(415) 306-7641
(415) 526-3734
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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