| Broadway Community Health Care, Inc | |
|
442 S Broadway Camden NJ 08103-1246 | |
| (856) 365-1707 | |
| (856) 365-1737 |
| Full Name | Broadway Community Health Care, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 442 S Broadway, Camden, New Jersey |
| Authorized Official Name and Position | Patrick Aime Ervilus (PROVIDER) |
| Authorized Official Contact | 8563651707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Community Health Care, Inc 442 S Broadway Camden NJ 08103-1246 Ph: (856) 365-1707 | Broadway Community Health Care, Inc 442 S Broadway Camden NJ 08103-1246 Ph: (856) 365-1707 |
| NPI Number | 1386984763 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 06/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386984763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26NN10322000 (New Jersey) | Primary |
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