Provider Demographics
NPI:1033720347
Name:CELLA FOOT AND ANKLE SPECIALTY
Entity Type:Organization
Organization Name:CELLA FOOT AND ANKLE SPECIALTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-773-6557
Mailing Address - Street 1:19-21 FAIR LAWN AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2337
Mailing Address - Country:US
Mailing Address - Phone:201-773-6557
Mailing Address - Fax:949-655-6091
Practice Address - Street 1:19-21 FAIR LAWN AVE STE 2A
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2337
Practice Address - Country:US
Practice Address - Phone:201-543-1459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric