Organization
RIVERSIDE PHYSICIAN SERVICES, INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES, INC
Other names
Gloucester Gastroenterology
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
7552 HOSPITAL DR, BLDG D SUITE 302, GLOUCESTER, VA 23061-4178
(757) 221-0750
(757) 229-5168
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
01/23/2013
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