Organization · Type 2 NPI

Bon Secours Depaul Medical Center Inc

Neurology Physician · Norfolk, VA

NPI number 1881983278 Active

Practice location

110 Kingsley Ln, Suite 411
Norfolk, VA 23505-4614

Call (757) 889-5040 Map

Fax (757) 889-5041

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

62 other providers at this address

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NPI record

NPI: 1881983278
Entity type: Organization (Type 2)
Issued: Apr 6, 2011
Last updated: May 16, 2019
Status: Active
Subpart: Yes of Bon Secours Depaul Medical Center Inc

Other names

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Bon Secours Neurovascular Center · doing business as
Bon Secours Neurovascular Center · 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 1881983278

Bon Secours Depaul Medical Center Inc's National Provider Identifier is 1881983278, issued on Apr 6, 2011. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Norfolk, VA. The record was last updated on May 16, 2019.