OrganizationActive
Broadway Vascular LLC
NPI 1235539081 · Vascular & Interventional Radiology Physician · Tinton Falls, NJ
Provider details
- NPI number
- 1235539081
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dallas Broadway, Owner(917) 780-8575
- License
- 25MA09187400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
106 Apple St Ste 200a
Tinton Falls, NJ 07724-2670
Phone: (732) 475-0880
Fax: (732) 475-0881
Approximate (ZIP-level) locationGet directions
Mailing address
106 Apple St Ste 200a
Tinton Falls, NJ 07724-2670
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2022-06-30
- Certified
- 2022-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.