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10510 Jefferson Ave Suites A Newport News VA 23601-3102 | |
(757) 594-3800 | |
(757) 594-3818 |
Full Name | |
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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 |
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856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | 10510 Jefferson Ave Suites A Newport News VA 23601-3102 Ph: (757) 594-3800 |
NPI Number | 1245256908 |
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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 |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
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 | |