| NPI | 1801334297 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL GROUP - SHORE |
| Entity Type | Organization |
| Authorized Contact | BRADEN MILLER CFO 757-316-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |