Organization
HONOLULU DERMATOLOGY LLC
Active
Organization
HONOLULU DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD MICHAEL GILL (MANAGER)
(808) 670-3333
Entity
Organization
Contact information
Practice address
1953 S BERETANIA ST, SUITE 3C, HONOLULU, HI 96826-1300
(808) 670-3333
(808) 447-8715
Mailing address
PO BOX 11736, HONOLULU, HI 96828-0736
(808) 670-3333
(808) 447-8715
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18537
HI
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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