# RIVERSIDE PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE PHYSICIAN SERVICES IINC
- **Other names:** Women's Healthcare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386944825
- **Legal business name:** RIVERSIDE PHYSICIAN SERVICES IINC
- **Authorized official:** JAMES LESNICK MD (VICE PRESIDENT)
- **Authorized official phone:** (757) 594-4006

## Contact information

- **Practice address:** 7685 MEREDITH DR, GLOUCESTER, VA 23061-4151
- **Practice address phone:** (804) 693-4410
- **Mailing address:** 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 594-4006
- **Mailing address fax:** (757) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | VA | Yes |

## Other

- **Enumeration date:** 11/01/2010
- **Last updated:** 10/19/2011