Individual
CELESTINE IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-8364
Mailing address
1125 LIBERTY AVE, UNION, NJ 07083-4838
(973) 868-9262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00468700
NJ
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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