Broadway Medical Associates Llc | |
6500 Broadway West New York NJ 07093-3112 | |
(201) 864-3456 | |
(201) 869-7224 |
Full Name | Broadway Medical Associates Llc |
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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 |
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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 |
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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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