# BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Endocrinology and Diabetes Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538317078
- **Authorized official:** STEPHEN QUIRICONI (CFO)
- **Authorized official phone:** (804) 281-8301

## Contact information

- **Practice address:** 5875 BREMO RD STE 306, RICHMOND, VA 23226-1934
- **Practice address phone:** (804) 287-7322
- **Practice address fax:** (804) 281-8380
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5462
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101048009 | VA | Yes |

## Other

- **Enumeration date:** 09/08/2008
- **Last updated:** 03/07/2023