Provider Demographics
NPI:1063534097
Name:LAMDAGAN, CELINE C (PT)
Entity type:Individual
Prefix:
First Name:CELINE
Middle Name:C
Last Name:LAMDAGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ELDORA RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3911
Mailing Address - Country:US
Mailing Address - Phone:201-936-7941
Mailing Address - Fax:
Practice Address - Street 1:50 CHERRY HILL RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1113
Practice Address - Country:US
Practice Address - Phone:973-263-2828
Practice Address - Fax:973-263-3243
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00826400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ039189Medicare ID - Type Unspecified