Organization
BROADWAY MEDICAL CORPORATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADOLPHUS A ANEKWE MD (PRESIDENT)
(219) 887-0900
Entity
Organization
Contact information
Practice address
3195 BROADWAY, GARY, IN 46409-1006
(219) 887-0900
(219) 884-0930
Mailing address
3195 BROADWAY, GARY, IN 46409-1006
(219) 887-0900
(219) 884-0930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010-36654
IN
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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