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Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Neuro-Interventiion Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(787) 594-4006
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 534-5220
(757) 534-5229
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
VA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
VA
Other
Enumeration date
10/30/2008
Last updated
09/28/2011
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