Provider Demographics
NPI:1992495204
Name:GARCIA, CELINE ANGELICA MAGADAN (MD)
Entity type:Individual
Prefix:MS
First Name:CELINE ANGELICA
Middle Name:MAGADAN
Last Name:GARCIA
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 1:355 GRAND STREET
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:201-915-2431
Mailing Address - Fax:201-915-2219
Practice Address - Street 1:355 GRANT STREET
Practice Address - Street 2:DEPARTMENT OF MEDICINE 1 EAST
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302
Practice Address - Country:US
Practice Address - Phone:201-915-2431
Practice Address - Fax:201-915-2219
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2024-01-03
Deactivation Date:2023-12-18
Deactivation Code:
Reactivation Date:2024-01-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program