Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside GYN Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
JAMES LENICK (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
608 DENBIGH BLVD, SUITE 701, NEWPORT NEWS, VA 23608-4413
(757) 874-8696
(757) 872-9904
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
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
11/10/2010
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