Broadway Medical Treatment Center, LLC
NPI #1104010032 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1104010032
- Entity Type
- Organization
- Organization Name
- Broadway Medical Treatment Center, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 4, 2007
- Last Updated
- Sep 4, 2007
Practice Location
- Address
- 1053 S BROADWAY
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-4729
- Phone
- (401) 438-5551
Authorized Official
- Name
- DR. PETER GEORGE BRASSARD, M.D.
- Title
- PHYSICIAN / OWNER
- Phone
- (401) 438-5551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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