Organization
RIVERSIDE PHYSCIAN SERVICES INC
Active
Organization
RIVERSIDE PHYSCIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTH ASSOCIATION, INC
Other names
Riverside Orthopedics, Sports Medicince & Physiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTH ASSOCIATION, INC
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
12200 WARWICK BLVD, SUITE 310, NEWPORT NEWS, VA 23601-2344
(757) 534-9988
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
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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