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Organization

CORA S TASAKI MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORA S TASAKI MD INC (OWNER)
(808) 244-6776
Entity
Organization

Contact information

Practice address
1885 MAIN ST, SUITE 205, WAILUKU, HI 96793-1819
(808) 244-6776
(808) 244-6005
Mailing address
1885 MAIN ST STE 205, WAILUKU, HI 96793-1827
(808) 244-6776
(808) 244-6005

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD8162
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50132101
HI
Enumeration date
05/23/2006
Last updated
04/05/2023
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