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Organization
MARYVIEW HOSPITAL
Active
Organization
MARYVIEW HOSPITAL
Active
Parent organization
MARYVIEW HOSPITAL
Other names
Bon Secours Neuroscience Center for Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVIEW HOSPITAL
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
3315 HIGH ST, PORTSMOUTH, VA 23707-3319
(757) 399-0759
(757) 399-8247
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
05/29/2019
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