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1629196761
BROADWAY MEDICAL CORPORATION, PC
GARY, IN
NPI
1629196761
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Entity Type
Organization
Authorized Contact
ADOLPHUS A ANEKWE
President
219-887-0900
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IN 010-36654)
Enumeration Date
2007-03-27
Last Update Date
2020-08-22
Business Address
BROADWAY MEDICAL CORPORATION, PC
3195 BROADWAY
GARY, IN 46409-1006
Phone number: 219-887-0900
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Mailing Address
BROADWAY MEDICAL CORPORATION, PC
3195 BROADWAY
GARY, IN 46409-1006
Phone number: 219-887-0900
Copy
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