Basic Information
Provider Information
NPI: 1205809068
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEIHL
FirstName: ALBERT
MiddleName: CARL
NamePrefix:  
NameSuffix: II
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 GEORGE STREET
Address2: 6TH FLOOR PO BOX 9805
City: NEW HAVEN
State: CT
PostalCode: 065360805
CountryCode: US
TelephoneNumber: 2037857998
FaxNumber: 2037856414
Practice Location
Address1: 800 HOWARD AVENUE
Address2: YALE PHYSICIANS BUILDING
City: NEW HAVEN
State: CT
PostalCode: 06519
CountryCode: US
TelephoneNumber: 2037852140
FaxNumber: 2037856414
Other Information
ProviderEnumerationDate: 02/10/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PE0004X015950CTX Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
207RE0101X015950CTX Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


Home