Organization · NPI-2

Bon Secours Memorial Regional Medical Center INC

Obstetrics & Gynecology, Gynecologic Oncology · Richmond, VA

NPI number1265951818
StatusActive
Last updated in NPPESJul 10, 2019

Details

NPI
1265951818
Entity type
Organization (NPI-2)
Legal business name
Bon Secours Memorial Regional Medical Center INC
Organization subpart
No
Enumeration date
Sep 14, 2017
Last updated
Jul 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology––Yes

Other names

  • Bon Secours Capitol Ob/Gyn (Doing Business As)

Practice location

1510 N 28th St Ste 305
Richmond, VA 23223-5311

Phone 804-371-1689 · Fax 804-371-1678

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Phone 804-627-5462 · Fax 866-449-0896

Authorized official

Stephan Quiriconi
Cfo
8042818301

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