Healthcare Provider Details

I. General information

NPI: 1063621795
Provider Name (Legal Business Name): CELIA ANN ENGLANDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 N STATE ST
CONCORD NH
03301-3227
US

IV. Provider business mailing address

556 LONG JOHN RD
RYE NH
03870-2213
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-6064
  • Fax:
Mailing address:
  • Phone: 603-828-7057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number9696
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: