| Riverside Brentwood Medical Center - Family Medicine | |
|
10510 Jefferson Ave Suites A Newport News VA 23601-3102 | |
| (757) 594-3800 | |
| (757) 594-3818 |
| Full Name | Riverside Brentwood Medical Center - Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 10510 Jefferson Ave, Newport News, 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 Brentwood Medical Center - Family Medicine 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Brentwood Medical Center - Family Medicine 10510 Jefferson Ave Suites A Newport News VA 23601-3102 Ph: (757) 594-3800 |
| NPI Number | 1245256908 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245256908 | NPI | - | NPPES |
| CG6038 | Other | VA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Riverside Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606 Phone: 757-534-5509 Fax: 757-534-6096 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |
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