Organization
CPC HAWAII LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY PASQUALE D.O. (CEO)
(808) 945-5433
Entity
Organization
Contact information
Practice address
1330 ALA MOANA BLVD, UNIT 9, HONOLULU, HI 96814-4200
(808) 945-5433
(808) 380-1465
Mailing address
1330 ALA MOANA BLVD, UNIT 9, HONOLULU, HI 96814-4200
(808) 945-5433
(808) 380-1465
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208200000X
Plastic Surgery Physician
Primary
DOS696
HI
Other
Enumeration date
08/02/2016
Last updated
02/21/2017
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