Organization
RIVERSIDE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUM MUJAHID (RESIDENT)
(703) 314-4456
Entity
Organization
Contact information
Practice address
10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
(575) 594-3890
Mailing address
10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
(575) 594-3890
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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