Basic Information
Provider Information
NPI: 1811274228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIEHL
FirstName: ALBERT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2815 S SEACREST BLVD
Address2:  
City: BOYNTON BEACH
State: FL
PostalCode: 334357934
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2815 S SEACREST BLVD
Address2:  
City: BOYNTON BEACH
State: FL
PostalCode: 334357934
CountryCode: US
TelephoneNumber: 5617377733
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/14/2011
LastUpdateDate: 11/14/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208C00000XME36027FLY Allopathic & Osteopathic PhysiciansColon & Rectal Surgery 

No ID Information.


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