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Organization

RIVERSIDE PHYSICIAN SERVICES INC

Active
Other names
Drs Wetchler and Dineen
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J DOUCETTE (VICE PRESIDENT)
(757) 594-4006
Entity
Organization

Contact information

Practice address
12700 MCMANUS BLVD, SUITE 102A, NEWPORT NEWS, VA 23602-4407
(757) 874-8696
(757) 872-9907
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
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
03/17/2008
Last updated
03/17/2008
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