| NPI | 1811910102 |
|---|---|
| Doing Business As | RIVERSIDE BRENTWOOD MEDICAL CENTER PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-09-27 |