| Bon Secours Neurovascular Center | |
|
110 Kingsley Ln Suite 411 Norfolk VA 23505-4614 | |
| (757) 889-5040 | |
| (757) 889-5041 |
| Full Name | Bon Secours Neurovascular Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 110 Kingsley Ln, Norfolk, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Neurovascular Center 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Neurovascular Center 110 Kingsley Ln Suite 411 Norfolk VA 23505-4614 Ph: (757) 889-5040 |
| NPI Number | 1881983278 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 05/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881983278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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