Organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Active
Parent organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Other names
BON SECOURS TOWN CENTER 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
4421 VIRGINIA BEACH BLVD STE 114, VIRGINIA BEACH, VA 23462-3114
(757) 738-1300
(757) 687-3202
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
Enumeration date
06/14/2007
Last updated
07/03/2019
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