Individual
DR. FREDERICK ALAN NITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 PONAHAWAI ST, SUITE 200, HILO, HI 96720-2660
(808) 961-5922
(808) 969-1924
Mailing address
670 PONAHAWAI ST, SUITE 200, HILO, HI 96720-2660
(808) 961-5922
(808) 969-1924
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD6338
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041524-01
—
HI
01
—
04569-0
HMSA QUEST
HI
Enumeration date
09/26/2006
Last updated
02/07/2008
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