Individual
DR. ANDREA BARRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
599 FARRINGTON HWY, SUITE 201, KAPOLEI, HI 96707-2001
(808) 674-9500
(808) 674-9436
Mailing address
1099 ALAKEA ST, SUITE 1100, HONOLULU, HI 96813-4511
(808) 547-4600
(808) 547-4559
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD11787
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53626101
—
HI
Enumeration date
08/24/2006
Last updated
07/31/2009
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