Bon Secours Depaul Medical Center INC
Psychiatry & Neurology, Neurology in Norfolk, VA. Organization (NPI-2).
NPI number1881983278
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1881983278
- Entity type
- Organization (NPI-2)
- Legal business name
- Bon Secours Depaul Medical Center INC
- Organization subpart
- Yes
- Enumeration date
- Apr 6, 2011
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Other names
- Bon Secours Neurovascular Center (Doing Business As)
Practice location
110 Kingsley LnSuite 411
Norfolk, VA 23505-4614
Phone 757-889-5040 · Fax 757-889-5041
Mailing address
8580 Magellan PkwyRichmond, VA 23227-1149
Phone 804-627-5462 · Fax 866-449-0896
Authorized official
Stephan Quiriconi
Cfo
8042818301
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