Provider Demographics
NPI:1215972583
Name:CELLA, ANTONELLA (DPM)
Entity type:Individual
Prefix:DR
First Name:ANTONELLA
Middle Name:
Last Name:CELLA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19-21 FAIR LAWN AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2337
Mailing Address - Country:US
Mailing Address - Phone:201-773-6557
Mailing Address - Fax:949-655-6091
Practice Address - Street 1:19-21 FAIR LAWN AVE STE 2A
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2337
Practice Address - Country:US
Practice Address - Phone:201-773-6557
Practice Address - Fax:949-655-6091
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00269500213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery