| NPI | 1609523976 |
|---|---|
| Doing Business As | BROADWAY EAST INTERNISTS |
| Entity Type | Organization |
| Authorized Contact | ROBERT TULLY Provider/Owner 480-981-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |