| Bruton Avenue Family Practice | |
|
12 Bruton Ave Newport News VA 23601-1602 | |
| (757) 594-4111 | |
| (757) 594-4115 |
| Full Name | Bruton Avenue Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Bruton 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 |
|---|---|
| Bruton Avenue Family Practice 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Bruton Avenue Family Practice 12 Bruton Ave Newport News VA 23601-1602 Ph: (757) 594-4111 |
| NPI Number | 1013933977 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013933977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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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 | |
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