Organization
AMHERST COLON & RECTAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED E BOEHMKE MD (SOLE MEMBER)
(716) 626-6626
Entity
Organization
Contact information
Practice address
8201 MAIN ST, SUITE 8, WILLIAMSVILLE, NY 14221-6046
(716) 626-6626
(716) 626-6646
Mailing address
8201 MAIN ST, SUITE 8, WILLIAMSVILLE, NY 14221-6046
(716) 626-6626
(716) 626-6646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
130603
NY
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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