Provider Demographics
NPI:1437134806
Name:DOPPELT, CELA (MD)
Entity Type:Individual
Prefix:
First Name:CELA
Middle Name:
Last Name:DOPPELT
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 1:2000 WASHINGTON ST
Mailing Address - Street 2:SUITE 764
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1628
Mailing Address - Country:US
Mailing Address - Phone:617-965-7800
Mailing Address - Fax:617-965-4581
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE 764
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1628
Practice Address - Country:US
Practice Address - Phone:617-965-7800
Practice Address - Fax:617-965-4581
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57971207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
13339OtherHPHC
2257771OtherAETNA US HEALTHCARE
MA3024326QMedicaid
36205OtherHEALTHY START
S023506OtherCHAMPUS
0017073OtherNEIGHBORHOOD HEALTH
043200332OtherSTANDARD TAX ID
0700836OtherUNITED HEALTHCARE
710397OtherTUFTS
164345OtherHEALTHSOURCE MA
B20232801OtherCIGNA
MAJ06539OtherBCBS
160057189OtherRAILROAD MEDICARE
MA710397OtherTUFTS HEALTH PLAN
MA710397OtherTUFTS HEALTH PLAN
710397OtherTUFTS