Organization
MARYVIEW HOSPITAL
Active
Parent organization
MARYVIEW HOSPITAL
Other names
Eagle Harbor Medical Associates
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
13609 CARROLLTON BLVD STE 11, CARROLLTON, VA 23314-3214
(757) 238-8751
(757) 238-8750
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/18/2008
Last updated
05/29/2019
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