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Organization

BROADWAY MANHATTAN MEDICAL OFFICE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MURUGA RAJ M.D (PHYSICIAN)
(212) 543-2500
Entity
Organization

Contact information

Practice address
4915 BROADWAY, STE 1K, NEW YORK, NY 10034-3119
(212) 543-2500
(212) 543-2503
Mailing address
4915 BROADWAY, STE 1K, NEW YORK, NY 10034-3119
(212) 543-2500
(212) 543-2503

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
10/10/2011
Last updated
09/26/2012
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