| Broadway Medical Group Llc | |
|
2 Broadway North Haven CT 06473-2349 | |
| (203) 234-6500 | |
| Not Available |
| Full Name | Broadway Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Broadway, North Haven, Connecticut |
| Authorized Official Name and Position | Lorenzo Galante (PHYSICIAN OWNER) |
| Authorized Official Contact | 2032346500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Medical Group Llc 2 Broadway North Haven CT 06473-2349 Ph: (203) 234-6500 | Broadway Medical Group Llc 2 Broadway North Haven CT 06473-2349 Ph: (203) 234-6500 |
| NPI Number | 1649466061 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 4587626635 |
|---|---|
| Medicare Enrollment ID | O20041101000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649466061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036028 (Connecticut) | Primary |
| Provider Name | Lorenzo S Galante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023180726 PECOS PAC ID: 2769401140 Enrollment ID: I20101006001049 |
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