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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