Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside ENT Physicians and Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
JAMES LESNICK (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
895 MIDDLE GROUND BLVD, SUITE 152, NEWPORT NEWS, VA 23606-4250
(757) 599-5505
(757) 599-3618
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
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
10/12/2011
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