| Broad Health Of Nc Pc | |
|
2626 Glenwood Ave Ste 550 Raleigh NC 27608-1370 | |
| (706) 455-2406 | |
| Not Available |
| Full Name | Broad Health Of Nc Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2626 Glenwood Ave Ste 550, Raleigh, North Carolina |
| Authorized Official Name and Position | Mildred Santorufo (OWNER) |
| Authorized Official Contact | 7064552406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Health Of Nc Pc 154 W 16th St # 6-110 New York NY 10011-6201 Ph: (617) 513-4838 | Broad Health Of Nc Pc 2626 Glenwood Ave Ste 550 Raleigh NC 27608-1370 Ph: (706) 455-2406 |
| NPI Number | 1043955396 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043955396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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