Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Parent organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Other names
Bon Secours Developmental & Special Needs Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Authorized official
STEPHEN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
5855 BREMO RD STE 703, RICHMOND, VA 23226-1926
(804) 287-7463
(804) 287-7722
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101248280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
12/28/2010
Last updated
08/30/2019
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