Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside Surgical Specialists Gloucester, Gloucester Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
BILLIE JO BROWN (CREDENTIALING MANAGER)
(757) 316-5901
Entity
Organization
Contact information
Practice address
7547 MEDICAL DR STE 1200, GLOUCESTER, VA 23061-4351
(804) 693-3400
(804) 693-9793
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
VA
Other
Enumeration date
10/30/2008
Last updated
10/21/2025
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