Organization · Type 2 NPI

Bon Secours Depaul Medical Center Inc

Family Medicine Physician · Norfolk, VA

NPI number 1033442850 Active

Practice location

930 W 21st St Ste 100
Norfolk, VA 23517-1516

Call (757) 622-8358 Map

Fax (757) 622-9662

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Norfolk

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NPI record

NPI: 1033442850
Entity type: Organization (Type 2)
Issued: Sep 11, 2009
Last updated: May 16, 2019
Status: Active
Subpart: Yes of Bon Secours Depaul Medical Center Inc

Other names

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Bon Secours Ghent Station Medical Associates · doing business as

Authorized official

Stephan Quiriconi
CFO
(804) 281-8301

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033442850

Bon Secours Depaul Medical Center Inc's National Provider Identifier is 1033442850, issued on Sep 11, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Norfolk, VA. The record was last updated on May 16, 2019.