| NPI | 1013573948 |
|---|---|
| Doing Business As | BROADWAY ELITE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | HAYAN ORFALY Owner 469-745-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-07-08 |