Organization
RIVERSIDE PHYSICAIN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside Peninsula Pulmonary and Sleep Associates
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
12200 WARWICK BLVD, SUITE 290, NEWPORT NEWS, VA 23601
(757) 534-5454
(757) 534-5491
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
207R00000X
Internal Medicine Physician
—
VA
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
09/28/2011
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