Individual
MARK ANTHONY BIEBEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
721 N BEERS ST, STE. 2C, HOLMDEL, NJ 07733-1518
(732) 888-1717
(732) 888-2101
Mailing address
7 FALCONS RIDGE CIR, HOLMDEL, NJ 07733-1961
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01539
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10651921
CAQH
—
01
—
2K6415
HEALTH NET
—
01
—
P09761
EMPIRE BCBS
—
01
—
P403899
OXFORD ID
—
Enumeration date
03/17/2006
Last updated
07/08/2007
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