# RIVERSIDE PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE PHYSICIAN SERVICES INC
- **Other names:** Riverside GYN Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679599120
- **Legal business name:** RIVERSIDE PHYSICIAN SERVICES INC
- **Authorized official:** JAMES LENICK (VICE PRESIDENT)
- **Authorized official phone:** (757) 594-4006

## Contact information

- **Practice address:** 608 DENBIGH BLVD, SUITE 701, NEWPORT NEWS, VA 23608-4413
- **Practice address phone:** (757) 874-8696
- **Practice address fax:** (757) 872-9904
- **Mailing address:** 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 594-4006
- **Mailing address fax:** (757) 594-2195

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/10/2010