Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES
Other names
Riverside Lifelong Health & Aging Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES
Authorized official
BILLIE JO BROWN (CREDENTIALING MANAGER)
(757) 316-5901
Entity
Organization
Contact information
Practice address
856 J CLYDE MORRIS BLVD STE C, NEWPORT NEWS, VA 23601-1318
(757) 875-2050
(757) 875-2070
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(754) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
VA
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
07/14/2006
Last updated
07/22/2024
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