BROADWAY OB GYN LLP NPI 1831315548

NPI Information

BROADWAY OB GYN LLP is an obstetrics gynecology in Providence, RI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BROADWAY OB GYN LLP NPI is 1831315548. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

695 EDDY ST
SUITE 21
PROVIDENCE, RI
ZIP 02903-941
Phone: (401) 272-1550

The provider's authorized official is Bethany R Gardner .
The authorized official title is Practice Administrator and has the following contact phone number (401) 272-1550.

The CLIA number assigned to this NPI record is 41D0713087 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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