Organization
BROADWAY MEDICAL SUPPLY COMPANY INC.
Active
Other names
Broadway Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CARPENITO (CEO)
(201) 666-2112
Entity
Organization
Contact information
Practice address
60 WASHINGTON AVE, WESTWOOD, NJ 07675
(201) 666-2112
(201) 666-4661
Mailing address
60 WASHINGTON AVE, WESTWOOD, NJ 07675
(201) 666-2112
(201) 666-4661
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8706204
—
NJ
Enumeration date
02/27/2007
Last updated
10/06/2023
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