Organization
RIVERSIDE PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E LESNICK (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
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
207R00000X
Internal Medicine Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
01/13/2015
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