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Individual

CELESTE SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
RENAISSANCE SQUARE, 141 ROUTE 70 SUITE B, MARLTON, NJ 08053
(856) 596-9057
(856) 596-0837
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 596-9057
(856) 596-0837

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00611900
NJ
363LA2100X
Acute Care Nurse Practitioner
SP014461
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0520799
NJ
Enumeration date
09/03/2015
Last updated
10/04/2024
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