NPI | 1396172219 |
---|---|
Doing Business As | EAST BEACH MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-10-09 |
Last Update Date | 2019-05-16 |