Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
Pediatric Endocrinology and Diabetes Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
5875 BREMO RD STE 306, RICHMOND, VA 23226-1934
(804) 287-7322
(804) 281-8380
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101048009
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
09/08/2008
Last updated
03/07/2023
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