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Broadway Medical Corporation, Pc
Specialist in Gary, Indiana
NPI 1629196761

Broadway Medical Corporation, Pc is a Specialist based in Gary, IN. Broadway Medical Corporation, Pc practices in Gary, IN. The NPI Number for Broadway Medical Corporation, Pc is 1629196761 and holds a License No. 010-36654 (Indiana).

The current practice location address for Broadway Medical Corporation, Pc is 3195 Broadway, Gary, IN and can be reached out via phone at 219-887-0900 and via fax at 219-884-0930.

Location: 3195 Broadway, Gary, IN, 46409-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629196761
Provider Name
Broadway Medical Corporation, Pc
Credential
Provider Entity Type
Organization
Address
3195 Broadway, Gary, IN, 46409-1006
Phone Number
219-887-0900
Fax Number
219-884-0930
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3195 Broadway
City
Gary
State
Indiana
Zip
46409-1006
Phone Number
219-887-0900
Fax Number
219-884-0930
person
Provider Business Mailing Address Details
Address
3195 Broadway
City
Gary
State
Indiana
Zip
46409-1006
Phone Number
219-887-0900
Fax Number
219-884-0930
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
010-36654 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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