Organization
BROADWAY OB GYN LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHANY R GARDNER (PRACTICE ADMINISTRATOR)
(401) 272-1550
Entity
Organization
Contact information
Practice address
695 EDDY ST, SUITE 21, PROVIDENCE, RI 02903-4941
(401) 272-1550
Mailing address
695 EDDY ST, SUITE 21, PROVIDENCE, RI 02903-4941
(401) 272-1550
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
03707
RI
207V00000X
Obstetrics & Gynecology Physician
11231
RI
207V00000X
Obstetrics & Gynecology Physician
5084
RI
207V00000X
Obstetrics & Gynecology Physician
6660
RI
207V00000X
Obstetrics & Gynecology Physician
7662
RI
207V00000X
Obstetrics & Gynecology Physician
8281
RI
207V00000X
Obstetrics & Gynecology Physician
Primary
8926
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002167
—
RI
05
—
9020237
—
RI
05
—
9020313
—
RI
05
—
FB09430
—
RI
05
—
FP09431
—
RI
05
—
LC51020
—
RI
Enumeration date
04/18/2007
Last updated
08/22/2020
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