| NPI | 1790049252 |
|---|---|
| Doing Business As | RIVERSIDE PULMONARY AND SLEEP SPECIALISTS GLOUCESTER |
| Entity Type | Organization |
| Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2024-09-05 |