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Individual

DR. ANTONIO K. TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1712 LILIHA ST., STE.302, HONOLULU, HI 96817-3100
(808) 521-8288
Mailing address
1712 LILIHA ST., STE.302, HONOLULU, HI 96817-3100
(808) 521-8288

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
3637
HI
208800000X
Urology Physician
Primary
3637
HI

Other

Enumeration date
01/11/2008
Last updated
01/11/2008
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