Healthcare Provider Details

I. General information

NPI: 1427887710
Provider Name (Legal Business Name): LIA CELESTE CISE RD, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIA CELESTE FERRANTI RD, CDCES

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 HAMILTON RD APT 3D
MORRISTOWN NJ
07960-5345
US

IV. Provider business mailing address

7 HAMILTON RD APT 3D
MORRISTOWN NJ
07960-5345
US

V. Phone/Fax

Practice location:
  • Phone: 908-328-9682
  • Fax:
Mailing address:
  • Phone: 908-328-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: