Provider Demographics
NPI:1083465074
Name:HILL, CELESTE (PA)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 BATH AVE APT 28
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6169
Mailing Address - Country:US
Mailing Address - Phone:510-931-9591
Mailing Address - Fax:
Practice Address - Street 1:317 BATH AVE APT 28
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6169
Practice Address - Country:US
Practice Address - Phone:510-931-9591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program