Organization
HEAJUNG RUESING MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEAJUNG RUESING MD (PRESIDENT)
(808) 935-2389
Entity
Organization
Contact information
Practice address
868 ULULANI ST, #108, HILO, HI 96720-3913
(808) 935-2389
(808) 935-5109
Mailing address
868 ULULANI ST, #108, HILO, HI 96720-3913
(808) 935-2389
(808) 935-5109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD7563
HI
208000000X
Pediatrics Physician
MD7563
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743824
—
HI
01
—
A0091981
HMSA
HI
Enumeration date
05/09/2006
Last updated
06/26/2014
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