Broadway Medical Corporation, Pc in Gary - Specialist
Broadway Medical Corporation, Pc - NPI 1629196761
Broadway Medical Corporation, Pc is a Specialist in Gary, Indiana. Broadway Medical Corporation, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Broadway Medical Corporation, Pc is 1629196761. The last update date is 2020-08-22.
Broadway Medical Corporation, Pc's current location address is 3195 Broadway, Gary, Indiana. You can contact this provider via phone number 2198870900 and fax number 2198840930. The mailing address for Broadway Medical Corporation, Pc is 3195 Broadway, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Medical Corporation, Pc |
|---|---|
| Address | 3195 Broadway, Gary, Indiana |
| Phone Number | 2198870900 |
| Fax Number | 2198840930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Anekwe A Adolphus |
| Credentials | MD |
| Telephone Number | 2198870900 |
NPI Number Detail
| NPI Number | 1629196761 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3195 Broadway |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 464091006 |
| Phone Number | 2198870900 |
| Fax Number | 2198840930 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 010-36654 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Broadway Medical Corporation, Pc's 1629196761?
The Broadway Medical Corporation, Pc's NPI (National Provider Identifier) Number is 1629196761. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Broadway Medical Corporation, Pc is geographically located?
The Broadway Medical Corporation, Pc is physically situated at the following location: 3195 Broadway, Gary, IN, 464091006.
What is Broadway Medical Corporation, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Broadway Medical Corporation, Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did Broadway Medical Corporation, Pc receive its 1629196761 assignment?
The Broadway Medical Corporation, Pc was assigned its 1629196761 on 2007-03-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Broadway Medical Corporation, Pc most recently updated or refreshed?
The details pertaining to the Broadway Medical Corporation, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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