Individual
DR. GODOFREDO BARCENA BACLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 N KUAKINI ST, SUITE 1112, HONOLULU, HI 96817-6300
(808) 524-5024
(808) 524-5715
Mailing address
405 N KUAKINI ST, SUITE 1112, HONOLULU, HI 96817-6300
(808) 524-5024
(808) 524-5715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8967
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203001
—
HI
01
—
021234-0
HMSA PROVIDER NUMBER
HI
Enumeration date
10/02/2006
Last updated
02/08/2013
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