NPI 1063673390 · live from the CMS NPI Registry
Bon Secours-Virginia Healthsource, INC.
Internal Medicine, Cardiovascular Disease in Richmond, VA. National Provider Identifier 1063673390, active.
NPI record
| NPI | 1063673390 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1510 N 28th St, Suite 204, Richmond, VA 23223 |
| Practice phone | 804-545-2304 |
| Mailing address | 8580 Magellan Pkwy, Richmond, VA 23227 |
| Enumerated | June 19, 2008 |
| Last updated | August 30, 2019 |
| Authorized official | Stephan Quiriconi, Cfo |
| Other names | Richmond Cardiology Consultants |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.