Riverside Physician Services INC

NPI #1790863645 in Gloucester, Virginia

Provider Information

NPI Number: 1790863645
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE PHYSICIAN SERVICES INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 1, 2006
Last Updated: Sep 28, 2011

Practice Location

Address: 7547 MEDICAL DRIVE
Address 2: SUITE 2200
City: Gloucester
State: Virginia
ZIP Code: 23061
Phone: (804) 693-2720

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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