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Organization

MICHAEL TUBIANOSA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TUBIANOSA MD (PRESIDENT)
(808) 277-9645
Entity
Organization

Contact information

Practice address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
Mailing address
PO BOX 235893, HONOLULU, HI 96823-3516
(808) 277-9645

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15564
HI

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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