Provider Demographics
NPI:1467416966
Name:CELONA, F JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:F JOSEPH
Middle Name:
Last Name:CELONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-853-2854
Mailing Address - Fax:508-853-4354
Practice Address - Street 1:630 PLANTATION ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-853-2854
Practice Address - Fax:508-853-4354
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33364207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
26789OtherCHILDRENS MEDICAL SECURIT
784007OtherMVP HEALTH CARE
N01551OtherBLUE SHIELD HMO BLUE
N01551OtherBLUE SHIELD INDEMNITY
MA3098893Medicaid
AA1190OtherHARVARD PILGRIM HEALTHCAR
N01551OtherMEDICARE B
042472266OtherHEALTHCARE VALUE MANAGEME
3098893OtherMEDICAID WELFARE
9900051OtherFALLON COMMUNITY HEALTH P
N01551OtherBLUE CARE ELECT
042472266OtherPRIVATE HEALTHCARE SYSTEM
26789OtherHEALTHY START
0404483OtherEVERCARE
042472266OtherONE HEALTH PLAN
7893313OtherAETNA US HEALTHCARE
1149983OtherFIRST HEALTH
2653485OtherCIGNA HEALTH PLAN
3098893OtherMEDICAID WELFARE
MA3098893Medicaid