BROADWAY MANHATTAN MEDICAL OFFICE PC NPI 1982988903

NPI Information

BROADWAY MANHATTAN MEDICAL OFFICE, PC is a gynecology obstetrics gynecology in New York, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee BROADWAY MANHATTAN MEDICAL OFFICE, PC NPI is 1982988903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4915 BROADWAY
STE 1K
NEW YORK, NY
ZIP 10034-119
Phone: (212) 543-2500
Fax: (212) 543-2503

The provider's authorized official is Muruga Raj .
The authorized official title is Physician and has the following contact phone number (212) 543-2500.

The enumeration date for this NPI number is 10/10/2011 and was last updated on 9/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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