| Dr Celso Luiz Backes, MD | |
|
1001 E 2nd St, Coudersport, PA 16915-8161 | |
| (814) 274-7101 | |
| (814) 274-3251 |
| Full Name | Dr Celso Luiz Backes |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1001 E 2nd St, Coudersport, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427123058 | NPI | - | NPPES |
| BA159071 | Other | BLUE SHIELD | |
| 0006289620002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD035343L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Celso Luiz Backes, MD 1001 East Second Street, Coudersport, PA 16915 Ph: (814) 274-7101 | Dr Celso Luiz Backes, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-7101 |
Dr. Mazen Rafic Fouany, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. James M. Clark, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 | |
Dr. Ethan Gable, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 |