BROADWAY COMPREHENSIVE VEIN CENTER P.C. NPI 1992048466

NPI Information

NPI: 1992048466
Provider Name: BROADWAY COMPREHENSIVE VEIN CENTER P.C.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
360 SPRINGFIELD AVE
SUITE 302D
SUMMIT, NJ
ZIP 07901
Phone: (973) 969-6400
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BROADWAY COMPREHENSIVE VEIN CENTER P.C. is a radiology clinic center in Summit, NJ. BROADWAY COMPREHENSIVE VEIN CENTER P.C. NPI is 1992048466. The provider is registered as an organization entity type.

The provider's business location address is:

360 SPRINGFIELD AVE
SUITE 302D
SUMMIT, NJ
ZIP 07901-608
Phone: (973) 969-6400
Fax: (609) 949-5555

The provider's authorized official is Dallas Broadway .
The authorized official title is President and has the following contact phone number (732) 235-0147.

The enumeration date for this NPI number is 4/2/2013 and was last updated on 10/7/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	25MA09187400	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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