Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
Bon Secours Richmond OB-GYN at St. Mary's
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN QUIRICONI (CFO /TREASURER)
(804) 281-8301
Entity
Organization
Contact information
Practice address
1501 MAPLE AVE STE 100, RICHMOND, VA 23226-2553
(804) 320-2483
(804) 419-1860
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
MEDICARE PTAN
VA
Enumeration date
06/27/2017
Last updated
03/04/2019
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