| Pediatric Endocrinology And Diabetes Associates | |
|
5875 Bremo Rd Ste 306 Richmond VA 23226-1934 | |
| (804) 287-7322 | |
| (804) 281-8380 |
| Full Name | Pediatric Endocrinology And Diabetes Associates |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 5875 Bremo Rd Ste 306, Richmond, Virginia |
| Authorized Official Name and Position | Stephen Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Endocrinology And Diabetes Associates 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Pediatric Endocrinology And Diabetes Associates 5875 Bremo Rd Ste 306 Richmond VA 23226-1934 Ph: (804) 287-7322 |
| NPI Number | 1538317078 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538317078 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 0101048009 (Virginia) | Primary |
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