Provider Demographics
NPI:1467569202
Name:SZEWCZYK, CELESTE CECILE (MD)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:CECILE
Last Name:SZEWCZYK
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 1:204 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1246
Mailing Address - Country:US
Mailing Address - Phone:571-405-2822
Mailing Address - Fax:571-748-4257
Practice Address - Street 1:3833 FAIRFAX DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1772
Practice Address - Country:US
Practice Address - Phone:571-405-2822
Practice Address - Fax:571-748-4257
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029772207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC021029ZE8RMedicare PIN