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Organization

BON SECOURS DEPAUL MEDICAL CENTER INC

Active
Parent organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Other names
Amelia Medical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization

Contact information

Practice address
885 KEMPSVILLE RD STE 320, NORFOLK, VA 23502-3800
(757) 955-2828
(757) 955-2829
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
207R00000X
Internal Medicine Physician
Primary
207V00000X
Obstetrics & Gynecology Physician

Other

Enumeration date
10/04/2010
Last updated
05/16/2019
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