Organization
RIVERSIDE HOSPITAL INC
Active
Parent organization
RIVERSIDE HOSPITAL INC
Other names
Riverside Brentwood Medical Center Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HOSPITAL INC
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
10510 JEFFERSON AVE, SUITE E, NEWPORT NEWS, VA 23601-3102
(757) 594-2846
(757) 594-1714
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
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
09/27/2011
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