Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Physician Services Inc

Organization Surgery Physician · NPI 1104847854

Riverside Physician Services Inc is a Surgery Physician in Gloucester, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7547 Medical Dr Ste 1500
Gloucester, VA 23061
Phone: (804) 693-3081
Fax: (804) 693-3283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1104847854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Doucette — Vice President · (757) 594-4006
Other names Middle Peninsula General And Vascular Surgery
NPI enumeratedJuly 21, 2006
Last updated in NPPESFebruary 25, 2008
Mailing address856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318

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