# RIVERSIDE PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE PHYSICIAN SERVICES INC
- **Other names:** Commonwealth Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811000136
- **Legal business name:** RIVERSIDE PHYSICIAN SERVICES INC
- **Authorized official:** JAMES LESNICK MD (VICE PRESIDENT)
- **Authorized official phone:** (757) 594-4006

## Contact information

- **Practice address:** 12715 WARWICK BLVD, SUITE O, NEWPORT NEWS, VA 23606-1800
- **Practice address phone:** (757) 930-0091
- **Practice address fax:** (757) 269-4406
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 09/27/2011