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Broadway Family Practice Pc
Foot & Ankle Surgery Podiatrist in Pleasantville, New Jersey
NPI 1780624031

Broadway Family Practice Pc is a Foot & Ankle Surgery Podiatrist based in Pleasantville, NJ and is specialized in Foot & Ankle Surgery. Broadway Family Practice Pc practices in Pleasantville, NJ. The NPI Number for Broadway Family Practice Pc is 1780624031 and holds a License No. (New Jersey).

The current practice location address for Broadway Family Practice Pc is 22 N Franklin Blvd, Pleasantville, NJ and can be reached out via phone at 609-272-0655 and via fax at 609-272-9317.

Location: 22 N Franklin Blvd, Pleasantville, NJ, 08232-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780624031
Provider Name
Broadway Family Practice Pc
Credential
Provider Entity Type
Organization
Address
22 N Franklin Blvd, Pleasantville, NJ, 08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317
Provider Enumeration Date
06/07/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5569605 05 NJ
institution
Provider Business Practice Location Address Details
Address
22 N Franklin Blvd
City
Pleasantville
State
New Jersey
Zip
08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317
person
Provider Business Mailing Address Details
Address
22 N Franklin Blvd
City
Pleasantville
State
New Jersey
Zip
08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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