Organization · Type 2 NPI

Riverside Physician Services Inc

Gynecology Physician · Gloucester, VA

NPI number 1124046719 Active

Practice location

6750 Main St Ste 200
Gloucester, VA 23061-5517

Call (804) 693-2670 Map

Fax (804) 693-3704

Mailing address

856 J Clyde Morris Blvd, Suite A
Newport News, VA 23601-1318

Specialties and licenses

Taxonomy	Code	License
Gynecology Physician Primary	207VG0400X	None listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Other gynecology physician providers in Gloucester

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NPI record

NPI: 1124046719
Entity type: Organization (Type 2)
Issued: Jul 18, 2006
Last updated: Aug 22, 2024
Status: Active
Subpart: Yes of Riverside Healthcare Associates

Other names

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Riverside Partners In Women's Health Gloucester · doing business as

Authorized official

Billie Jo Brown
Credentialing Manager
(757) 316-5901

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124046719

Riverside Physician Services Inc's National Provider Identifier is 1124046719, issued on Jul 18, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Gloucester, VA. The record was last updated on Aug 22, 2024.