Organization · Type 2 NPI

Riverside Physician Services Inc

Radiation Oncology Physician · Nassawadox, VA

NPI number 1255874558 Active

Practice location

10085 William F Bernart Circle
Nassawadox, VA 23413

Call (757) 414-8355 Map

Fax (757) 414-8016

Mailing address

856 J Clyde Morris Blvd Ste A, Riverside Medical Group
Newport News, VA 23601-1318

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

5 other providers at this address

NPI record

NPI: 1255874558
Entity type: Organization (Type 2)
Issued: Nov 18, 2016
Last updated: Nov 18, 2016
Status: Active
Subpart: Yes of Riverside Healthcare Associates Inc

Other names

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Riverside Radiation Oncology Specialists - Shore · doing business as

Authorized official

Braden Miller
Chief Financial Officer
(757) 594-4006

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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 1255874558

Riverside Physician Services Inc's National Provider Identifier is 1255874558, issued on Nov 18, 2016. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Nassawadox, VA. The record was last updated on Nov 18, 2016.