BROAD STREET MEDICAL, INC

NEWARK, NJ
NPI1881049377
Entity TypeOrganization
Authorized ContactAMRISH PATEL
Md
862-754-8233
Organization Subpart ?No
Primary Taxonomy208VP0000X 
Additional Taxonomies111N00000X Chiropractor
Enumeration Date2016-05-03
Last Update Date2016-05-03
Business Address
BROAD STREET MEDICAL, INC
1186 RAYMOND BLVD 2ND FLOOR
NEWARK, NJ 07102-4108
Phone number: 862-754-8233
Mailing Address
BROAD STREET MEDICAL, INC
1186 RAYMOND BLVD 2ND FLOOR
NEWARK, NJ 07102-4108
Phone number: 862-754-8233
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