Broadway Internal Medicine Pc in Paterson - Internal Medicine

Broadway Internal Medicine Pc - NPI 1992820435

Broadway Internal Medicine Pc is a Internal Medicine in Paterson, New Jersey. Broadway Internal Medicine Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Broadway Internal Medicine Pc is 1992820435. The last update date is 2014-04-28.

Broadway Internal Medicine Pc's current location address is 680 Broadway, Paterson, New Jersey. You can contact this provider via phone number 9732782877. The mailing address for Broadway Internal Medicine Pc is 680 Broadway, Paterson, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadway Internal Medicine Pc
Address 680 Broadway, Paterson, New Jersey
Phone Number 9732782877
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Avila A Esrel
Credentials M.D.
Telephone Number 9732783254

NPI Number Detail

NPI Number 1992820435
Provider Enumeration Date 2007-03-21
Last Updated Date 2014-04-28

Provider Mailing Address Detail

Address 680 Broadway
City Paterson
State New Jersey (NJ)
Post Code 75141524
Phone Number 9732782877
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 25MA42261
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1109502 NJ --

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FAQs about Broadway Internal Medicine Pc

What is the Broadway Internal Medicine Pc's 1992820435?

The Broadway Internal Medicine Pc's NPI (National Provider Identifier) Number is 1992820435. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Broadway Internal Medicine Pc is physically located?

The Broadway Internal Medicine Pc is physically situated at the following address: 680 Broadway, Paterson, NJ, 75141524.

What is Broadway Internal Medicine Pc's area of expertise and its corresponding taxonomy classification?

The Broadway Internal Medicine Pc's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1992820435 to Broadway Internal Medicine Pc?

The Centers for Medicare & Medicaid Services assigned the 1992820435 to Broadway Internal Medicine Pc on 2007-03-21.

When was the information regarding Broadway Internal Medicine Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Broadway Internal Medicine Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-04-28.

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