Bon Secours Infectious Disease Specialists | |
5855 Bremo Rd Ste 306 Richmond VA 23226-1923 | |
(804) 673-2814 | |
(804) 673-2873 |
Full Name | Bon Secours Infectious Disease Specialists |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 5855 Bremo Rd Ste 306, Richmond, Virginia |
Authorized Official Name and Position | Stephan Quiriconi (CFO) |
Authorized Official Contact | 8042818301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bon Secours Infectious Disease Specialists 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Bon Secours Infectious Disease Specialists 5855 Bremo Rd Ste 306 Richmond VA 23226-1923 Ph: (804) 673-2814 |
NPI Number | 1063772143 |
---|---|
Provider Enumeration Date | 05/22/2012 |
Last Update Date | 07/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063772143 | NPI | - | NPPES |
C06778 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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