MEDICARE: CARA CECIL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	MD482051	PA
2	208000000X	Pediatrics Physician	MD482051	PA
3	2080P0203X	Pediatric Critical Care Medicine Physician	MD482051	PA

General Provider Information

NPI Number	:	1104213560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA CECIL MD

Provider Business Mailing Address
First Line	:	3400 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5127
Country	:	US
Telephone Number	:	215-349-8310
Fax Number	:	215-662-2739

Provider Business Practice Location Address
First Line	:	3400 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5127
Country	:	US
Telephone Number	:	215-349-8310
Fax Number	:	215-662-2739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	03/16/2026

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Directions to “ CARA CECIL MD” Practice Location

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