Organization
MARY IMMACULATE HOSPITAL
Active
Parent organization
MARY IMMACULATE HOSPITAL
Other names
Cardiovascular Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY IMMACULATE HOSPITAL
Authorized official
GREG A SIMIA (CFO)
(757) 673-5928
Entity
Organization
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 201, NEWPORT NEWS, VA 23602-4414
(757) 875-5332
(757) 874-1545
Mailing address
12720 MCMANUS BLVD, SUITE 201, NEWPORT NEWS, VA 23602-4414
(757) 875-5332
(757) 874-1545
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
07/12/2010
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