Provider Demographics
NPI:1083853634
Name:KRAUSS, CELESTE MAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:MAY
Last Name:KRAUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 PINECROFT RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1772
Mailing Address - Country:US
Mailing Address - Phone:617-388-0224
Mailing Address - Fax:
Practice Address - Street 1:51 PINECROFT RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1772
Practice Address - Country:US
Practice Address - Phone:617-388-0224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46396174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist