NPI 1578881181

Virgin Islands Pediatric Specialties, LLC

Organisation Pediatrics Physician Christiansted, VI

Practice location

Address: 4500 Sion Farm Island Medical Center, Suite 301, Christiansted, VI 00820-4493
Phone: (340) 719-0685
Fax: (340) 719-0690
Mailing address: PO Box 7775, Christiansted, VI 00823-7775

Authorised official

Name: Anthony David Ricketts
Title: Chief Executive Officer
Phone: (340) 719-0685

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 1103 (VI)

Other Pediatrics providers in U.S. Virgin Islands →

Registry record

NPI: 1578881181
Entity type: Organization
NPI issued: 6 May 2010
Record last updated: 6 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.