Basic Information
| Provider Information | |||||||||
| NPI: | 1992737639 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BIALOW | ||||||||
| FirstName: | MARTIN | ||||||||
| MiddleName: | RICHARD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D.07261940 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 309 EASTLEIGH DR | ||||||||
| Address2: | |||||||||
| City: | BELLEAIR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337562503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274435316 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10000 BAY PINES BLVD. | ||||||||
| Address2: | |||||||||
| City: | BAY PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273986661 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 13908 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.