Broadway Comprehensive Vein Center P.c.
NPI #1992048466 in Summit, New Jersey
Provider Information
- NPI Number
- 1992048466
- Entity Type
- Organization
- Organization Name
- Broadway Comprehensive Vein Center P.c.
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Apr 2, 2013
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 360 SPRINGFIELD AVE
- Address 2
- SUITE 302D
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-4608
- Phone
- (973) 969-6400
Authorized Official
- Name
- DR. DALLAS BROADWAY, M.D.
- Title
- PRESIDENT
- Phone
- (732) 235-0147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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