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Individual

CELESTE P PIZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2401 E STREET NW, WASHINGTON, DC 20520-5716
(202) 663-1649
Mailing address
9301 PRETORIA PL APT 26, DULLES, VA 20189-9301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101271561
VA
207R00000X
Internal Medicine Physician
266974
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101271561
VA MEDICAL LICENSE
VA
01
D0092449
MD MEDICAL LICENSE
MD
Enumeration date
03/21/2013
Last updated
02/12/2025
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