Organization · Type 2 NPI

Mary Immaculate Hospital

Pulmonary Disease Physician · Newport News, VA

NPI number 1356625073 Active

Practice location

12720 Mcmanus Blvd, Suite 303
Newport News, VA 23602-4414

Fax (757) 947-3603

Specialties and licenses

Taxonomy	Code	License
Pulmonary Disease Physician Primary	207RP1001X	None listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

18 other providers at this address

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NPI record

NPI: 1356625073
Entity type: Organization (Type 2)
Issued: Sep 29, 2011
Last updated: Feb 1, 2012
Status: Active
Subpart: Yes of Mary Immaculate Hospital

Other names

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Bon Secours Pulmonary Specialists @ Mih · doing business as

Authorized official

Michael K Kerner
CEO
(757) 673-5929

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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 1356625073

Mary Immaculate Hospital's National Provider Identifier is 1356625073, issued on Sep 29, 2011. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Newport News, VA. The record was last updated on Feb 1, 2012.