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Organization

RIVERSIDE PHYSICIAN SERVICES INC

Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside Shore Medical Center - Metompkin
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
17385 LANKFORD HWY, PARKSLEY, VA 23421-3882
(757) 665-7229
(757) 665-7396
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
207Q00000X
Family Medicine Physician
Primary
VA
207V00000X
Obstetrics & Gynecology Physician
VA

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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