NPI 1053638890

Maryview Hospital

Organisation Urology Physician Chesapeake, VA

Practice location

Address: 4037 Taylor Rd STE a, Chesapeake, VA 23321-5500
Phone: (757) 483-1403
Fax: (757) 483-3757
Mailing address: 8580 Magellan Pkwy, Richmond, VA 23227-1149

Authorised official

Name: Stephan Quiriconi
Title: Cfo
Phone: (804) 281-8301

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Virginia →

Registry record

NPI: 1053638890
Entity type: Organization
NPI issued: 3 May 2010
Record last updated: 29 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.