Broadwest Specialty Surgical Center, LLC
NPI #1770532194 in Merrillville, Indiana
Provider Information
- NPI Number
- 1770532194
- Entity Type
- Organization
- Organization Name
- Broadwest Specialty Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 10, 2006
- Last Updated
- Jul 1, 2015
Practice Location
- Address
- 315 W 89TH AVENUE
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-6254
- Phone
- (219) 757-5275
Authorized Official
- Name
- VIJAY K. GUPTA, M.D.
- Title
- PRESIDENT/CEO
- Phone
- (219) 757-5275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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