Broad Street Medical Llc

LBN: Broad Street Medical Llc
Broad Street Medical Llc is an health care organization with primary practice located at 2033 S Broad St Ste B , Philadelphia PA 19148-5505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Broad Street Medical Llc can be contacted via phone (215) 809-1447, or through Almeda, Ami via phone (224) 318-0118.

Contact Information

Primary practice address
2033 S Broad St Ste B Philadelphia PA 19148-5505
Phone: (215) 809-1447
Fax: (224) 235-4652
Website:
Map and Directions
Authorized official contact:
Name: Almeda, Ami
Phone: (224) 318-0118

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1124670922
LBN Legal business name Broad Street Medical Llc
DBA Doing business as
Authorized official Almeda, Ami
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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