RIVERSIDE PHYSICIAN SERVICES INC NPI 1124046719

NPI Information

  • NPI: 1124046719
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE PARTNERS IN WOMEN'S HEALTH GLOUCESTER
  • Address: 6750 MAIN ST STE 200
    GLOUCESTER, VA
    ZIP 23061
  • Phone: (804) 693-2670

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a gynecology obstetrics gynecology in Gloucester, VA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee RIVERSIDE PHYSICIAN SERVICES INC NPI is 1124046719. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Partners In Women's Health Gloucester.

The provider's business location address is:

6750 MAIN ST STE 200
GLOUCESTER, VA
ZIP 23061-517
Phone: (804) 693-2670
Fax: (804) 693-3704

The provider's authorized official is Billie Jo Brown .
The authorized official title is Credentialing Manager and has the following contact phone number (757) 316-5901.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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