Riverside Physician Services INC

NPI #1295756096 in Mathews, Virginia

Provider Information

NPI Number: 1295756096
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE HEALTHCARE ASSOCIATES INC
Primary Specialty: Family Medicine
Enumeration Date: Jul 21, 2006
Last Updated: Oct 15, 2014

Practice Location

Address: 10976 BUCKLEY HALL ROAD
City: Mathews
State: Virginia
ZIP Code: 23109
Phone: (804) 725-5005

Authorized Official

Name: JAMES LESNICK, MD
Title: VICE PRESIDENT
Phone: (757) 594-4006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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