Organization
MARYVIEW HOSPITAL
Active
Parent organization
MARYVIEW HOSPITAL
Other names
Western Branch OB/GYN
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
1040 UNIVERSITY BLVD STE 205, PORTSMOUTH, VA 23703-2650
(757) 484-2272
(757) 484-4620
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
05/29/2019
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