Organization
NORTHSYRACUSEWALKINMEDICALCAREPC
Active
Other names
WaianaeCoast Comprehensive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO A TAN (MD)
(315) 751-7747
Entity
Organization
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(315) 751-7747
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(315) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-23655
HAWAII MEDICAL LICENSE
HI
Enumeration date
01/23/2007
Last updated
11/28/2023
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