Organization
WILLIAMSBURG RADIATION THERAPY CENTER INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
MICHAEL DOUCETTE (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
3901 TREYBURN DR, SUITE B, WILLIAMSBURG, VA 23185-2891
(757) 220-4900
(757) 565-5328
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
02/01/2008
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