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Organization

RIVERSIDE PHYSICIAN SERVICES INC

Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES INC
Other names
Riverside Surgical Specialists
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES INC
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization

Contact information

Practice address
109 PHILIP ROTH ST, NEWPORT NEWS, VA 23606-1393
(757) 873-6434
(757) 873-1882
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
208600000X
Surgery Physician
Primary
2086X0206X
Surgical Oncology Physician

Other

Enumeration date
07/21/2006
Last updated
10/15/2014
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