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Organization
INSULINIC HAWAII
Active
Organization
INSULINIC HAWAII
Active
Other names
INSULINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MARC PIERRE DESGRAVES (CEO)
(808) 210-4444
Entity
Organization
Contact information
Practice address
1360 S BERETANIA ST, HONOLULU, HI 96814-1520
(808) 543-6438
Mailing address
1360 S BERETANIA ST STE 500, HONOLULU, HI 96814-1520
(808) 210-4444
(808) 210-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
Other
Enumeration date
06/13/2022
Last updated
06/28/2023
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