Organization
MARY IMMACULATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA L ROBERTSON (EVP/ADMINISTRATOR)
(757) 886-6758
Entity
Organization
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
(757) 886-6069
Mailing address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
(757) 886-6069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/30/2006
Last updated
05/27/2009
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