Organization
MARYVIEW HOSPITAL
Active
Parent organization
MARYVIEW HOSPITAL
Other names
Virginia Orthopaedic & Spine Specialists
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
5838 HARBOUR VIEW BLVD STE 100, SUFFOLK, VA 23435-2663
(757) 673-5680
(757) 483-3075
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP9161
RR MEDICARE
VA
Enumeration date
11/05/2009
Last updated
05/29/2019
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