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Contact Information

RIVERSIDE PHYSICIAN SERVICES INC
12200 WARWICK BLVD STE 490A
NEWPORT NEWS, VA23601-2548
 Phone: 757-534-9988
 Fax: 757-594-3653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RIVERSIDE PHYSICIAN SERVICES INC · (Female)

NPI # 1609020643
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2008
Last updated 08/10/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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