| NPI | 1275936270 |
|---|---|
| Doing Business As | BROADWAY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JIMI OLA BENSON President 301-466-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116611) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-02-07 |