Organization · Type 2 NPI

Bon Secours-Virginia Healthsource, Inc.

Cardiovascular Disease Physician · Richmond, VA

NPI number 1063673390 Active

Practice location

1510 N 28th St, Suite 204
Richmond, VA 23223

Fax (804) 545-2306

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1063673390

Bon Secours-Virginia Healthsource, Inc.'s National Provider Identifier is 1063673390, issued on Jun 19, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Richmond, VA. The record was last updated on Aug 30, 2019.