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Organization
PEARL CITY MEDICAL ASSOCIATES, INC.
Active
Organization
PEARL CITY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGIT KL ROVNER M.D. (PRESIDENT)
(808) 488-1943
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-0990
(808) 486-4696
Mailing address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-0990
(808) 486-4696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/15/2006
Last updated
11/02/2009
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