Broadway Vascular LLC
NPI #1235539081 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1235539081
- Entity Type
- Organization
- Organization Name
- Broadway Vascular LLC
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Aug 29, 2014
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 106 APPLE ST STE 200A
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07724-2670
- Phone
- (732) 475-0880
Authorized Official
- Name
- DALLAS BROADWAY, MD
- Title
- OWNER
- Phone
- (917) 780-8575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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