National Provider Identifier
Fred Edward Boehmke, M.D.
Fred Edward Boehmke, M.D. is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician in Williamsville, NY and a listed phone number of (716) 626-6626.
Profile Overview
- NPI
- 1689639643
- Provider Type
- Individual
- Primary Specialty
- Colon & Rectal Surgery Physician
- Enumeration Date
- April 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 8201 Main St
- Suite 8
- Williamsville, NY 14221-6046
Phone: (716) 626-6626
Specialties
- Colon & Rectal Surgery Physician (208C00000X)
Full Record
- NPI
- 1689639643
- Entity Type
- Individual
- Last Name
- Boehmke
- First Name
- Fred
- Middle Name
- Edward
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 8201 Main St
- Mailing Address Line 2
- Suite 8
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6046
- Mailing Country
- US
- Mailing Phone
- (716) 626-6626
- Mailing Fax
- (716) 626-6646
- Practice Street Address
- 8201 Main St
- Practice Address Line 2
- Suite 8
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6046
- Practice Country
- US
- Practice Phone
- (716) 626-6626
- Practice Fax
- (716) 626-6646
- Enumeration Date
- April 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Colon & Rectal Surgery Physician (208C00000X)
- Other Identifiers
- 00668933 (NY)