Organization · Type 2 NPI

Riverside Physician Services Inc

Vascular Surgery Physician · Newport News, VA

NPI number 1891717625 Active

Practice location

500 J Clyde Morris Blvd, Suite 602
Newport News, VA 23601-1929

Call (757) 534-5511 Map

Fax (757) 534-5515

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

409 other providers at this address

Other vascular surgery physician providers in Newport News

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NPI record

NPI: 1891717625
Entity type: Organization (Type 2)
Issued: Jul 24, 2006
Last updated: Oct 12, 2011
Status: Active
Subpart: Yes of Riverside Physician Services Inc

Other names

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Riverside Tidewater Thoracic & Cardiovascular · doing business as

Authorized official

James Lesnick, MD
Vice President
(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 1891717625

Riverside Physician Services Inc's National Provider Identifier is 1891717625, issued on Jul 24, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Newport News, VA. The record was last updated on Oct 12, 2011.