Provider Demographics
NPI:1720027626
Name:CECIL, JANE A (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:CECIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 980049
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0049
Mailing Address - Country:US
Mailing Address - Phone:804-828-9711
Mailing Address - Fax:804-828-3097
Practice Address - Street 1:1101 E MARSHALL ST
Practice Address - Street 2:VCUHS
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5048
Practice Address - Country:US
Practice Address - Phone:804-828-9711
Practice Address - Fax:804-828-3097
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101227523207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG31801Medicare UPIN