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Organization

RIVERSIDE PHYSICIAN SERVICES INC

Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Hampton Roads Neurology-Hampton
Organization subpart
Yes

Provider details

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

Contact information

Practice address
850 ENTERPRISE PARKWAY, SUITE 1400, HAMPTON, VA 23666
(757) 637-7500
(757) 637-7541
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
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
01/23/2008
Last updated
10/12/2011
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