Individual provider · Type 1 NPI

Johanna Marie Cecelic, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1790350486 Active

Practice location

22 S Greene St
Baltimore, MD 21201-1544

Other practice locations

  • 825 Fairfax Ave, Norfolk, VA 23507-1914 · (757) 402-9438

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790350486

Johanna Marie Cecelic, MD's National Provider Identifier is 1790350486, issued on May 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 2, 2022.