Provider Demographics
NPI:1215906565
Name:SAUNDERS, CELESTE MARIE (MD)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:MARIE
Last Name:SAUNDERS
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 1:2120 SEQUOIA RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-4591
Mailing Address - Country:US
Mailing Address - Phone:610-694-8191
Mailing Address - Fax:
Practice Address - Street 1:1114 COMMONS BLVD
Practice Address - Street 2:US HEALTHWORKS
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-3333
Practice Address - Country:US
Practice Address - Phone:610-926-0960
Practice Address - Fax:610-926-6625
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031818E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0962773Medicaid
PAC30357Medicare UPIN
PASA108875Medicare ID - Type Unspecified