| Riverside Bay Harbor Medical Center | |
|
740 Jessie Dupont Memorial Hwy Burgess VA 22432 | |
| (804) 453-5466 | |
| (804) 453-4728 |
| Full Name | Riverside Bay Harbor Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 740 Jessie Dupont Memorial Hwy, Burgess, Virginia |
| Authorized Official Name and Position | James Lesnick (VICE PRESIDENT) |
| Authorized Official Contact | 7575944006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Bay Harbor Medical Center 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Bay Harbor Medical Center 740 Jessie Dupont Memorial Hwy Burgess VA 22432 Ph: (804) 453-5466 |
| NPI Number | 1184834871 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184834871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Willow Bay Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Jessie Dupont Memorial Hwy, Burgess, VA 22432 Phone: 804-453-5466 Fax: 804-453-4728 |