Broadway Vascular LLC
Broadway Vascular LLC is a Vascular & Interventional Radiology Physician in Tinton Falls, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.
- Licensed in
- NJ
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
106 Apple St Ste 200ATinton Falls, NJ 07724-2670
Phone: (732) 475-0880
Fax: (732) 475-0881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|---|
| Radiology Clinic/Center | Taxonomy 261QR0200X · Licence 25MA09187400 (NJ) |
Record details
| NPI number | 1235539081 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dallas Broadway — Owner · (917) 780-8575 |
| NPI enumerated | August 29, 2014 |
| Last updated in NPPES | June 30, 2022 |
| Certification date | June 30, 2022 |
| Mailing address | 106 Apple St Ste 200a, Tinton Falls, NJ 07724-2670 |
Other providers in Tinton Falls
-
Advanced Vascular Solutions, PA
766 Shrewsbury Ave Ste 300, Tinton Falls, NJ 07724-3001 · (732) 345-8346