NPI:
1225263940
Provider Name:
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Doing Business As: RICHMOND DIABETES AND ENDOCRINOLOGY - BON SECOURS MEDICAL GROUP
Classification:
Internal Medicine - 207RE0101X
Entity Type:
Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 49D2074770
Address:
8266 ATLEE RD STE 332
MECHANICSVILLE, VA
ZIP 23116
Phone:
(804) 764-7686
Get Directions
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER is an endocrinology and diabetes and metabolism internal medicine in Mechanicsville, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER NPI is 1225263940. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Richmond Diabetes And Endocrinology - Bon Secours Medical Group.
The provider's business location address is:
8266 ATLEE RD STE 332
MECHANICSVILLE, VA
ZIP 23116-812
Phone: (804) 764-7686
Fax: (804) 764-7689
The provider's authorized official is Stephan Quiriconi .
The authorized official title is Cfo and has the following contact phone number (804) 281-8301.
The CLIA number assigned to this NPI record is 49D2074770 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/26/2009 and was last updated on 5/24/2019.