| Broadway Medical Associates Llc | |
|
6500 Broadway West New York NJ 07093-3112 | |
| (201) 864-3456 | |
| (201) 869-7224 |
| Full Name | Broadway Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6500 Broadway, West New York, New Jersey |
| Authorized Official Name and Position | Mauricio Velasco (OWNER) |
| Authorized Official Contact | 2018643456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Medical Associates Llc 6500 Broadway West New York NJ 07093-3112 Ph: (201) 864-3456 | Broadway Medical Associates Llc 6500 Broadway West New York NJ 07093-3112 Ph: (201) 864-3456 |
| NPI Number | 1649586314 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649586314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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