Provider Demographics
NPI:1043321029
Name:CALON, CELIA P (MD)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:P
Last Name:CALON
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 1:10400 RIDGLAND RD STE 9A
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2760
Mailing Address - Country:US
Mailing Address - Phone:410-666-5995
Mailing Address - Fax:
Practice Address - Street 1:10400 RIDGLAND RD STE 9A
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2760
Practice Address - Country:US
Practice Address - Phone:410-666-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028963171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist