Healthcare Provider Details

I. General information

NPI: 1063469955
Provider Name (Legal Business Name): CECILIA NAA-SAKLE PENN MD, MPH, FAAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 RED HOOK PLZ SUITE 201
ST THOMAS VI
00802-1305
US

IV. Provider business mailing address

6501 RED HOOK PLZ SUITE 201
ST THOMAS VI
00802-1305
US

V. Phone/Fax

Practice location:
  • Phone: 340-513-2888
  • Fax:
Mailing address:
  • Phone: 340-513-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1425
License Number StateVI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD62776
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: