Organization
MARY IMMACULATE HOSPITAL
Active
Organization
MARY IMMACULATE HOSPITAL
Active
Parent organization
MARY IMMACULATE HOSPITAL
Other names
Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY IMMACULATE HOSPITAL
Authorized official
GREG A SIMIA (CFO)
(757) 673-5928
Entity
Organization
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
Mailing address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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