Bon Secours-St. Mary'S Hospital Of Richmond, INC.
Pediatrics in Richmond, VA. Organization (NPI-2).
NPI number1265736680
StatusActive
Last updated in NPPESAug 30, 2019
Details
- NPI
- 1265736680
- Entity type
- Organization (NPI-2)
- Legal business name
- Bon Secours-St. Mary'S Hospital Of Richmond, INC.
- Organization subpart
- Yes
- Enumeration date
- Dec 28, 2010
- Last updated
- Aug 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101248280 | VA | Yes |
Other names
- Bon Secours Developmental & Special Needs Pediatrics (Doing Business As)
Practice location
5855 Bremo Rd Ste 703Richmond, VA 23226-1926
Phone 804-287-7463 · Fax 804-287-7722
Mailing address
8580 Magellan PkwyRichmond, VA 23227-1149
Fax 866-449-0896
Authorized official
Stephen Quiriconi
Cfo
8042818301
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