BROAD STREET PROFESSIONAL MEDICAL SERVICES LLC

PHILADELPHIA, PA
NPI1720630650
Entity TypeOrganization
Authorized ContactAMI ALMEDA
Credentialing Manager
224-318-0118
Organization Subpart ?No
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
BROAD STREET PROFESSIONAL MEDICAL SERVICES LLC
2033 S BROAD ST STE A
PHILADELPHIA, PA 19148-5505
Phone number: 215-795-3855
Mailing Address
BROAD STREET PROFESSIONAL MEDICAL SERVICES LLC
PO BOX 302
NORTHBROOK, IL 60065-0302
Phone number: 847-593-8460
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BROAD STREET MEDICAL LLC