Organization
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
Active
Other names
Commonwealth Gynecologic Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KUSNIERZ (CFO)
(864) 282-4993
Entity
Organization
Contact information
Practice address
5875 BREMO RD STE G7, RICHMOND, VA 23226-1934
(804) 288-8900
(804) 282-9460
Mailing address
PO BOX 639992, CINCINNATI, OH 45263-9992
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
08/22/2016
Last updated
10/13/2022
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