Organization
MARYVIEW HOSPITAL
Active
Other names
Airline Boulevard Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
3537 AIRLINE BLVD STE 1, PORTSMOUTH, VA 23701-2650
(757) 738-1225
(757) 488-1037
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05149
GROUP PTAN
VA
Enumeration date
11/07/2013
Last updated
05/28/2019
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