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Organization

HAWAII SHOULDER AND ORTHOPEDIC INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RAQUEL ANN BOROMEO (BILLING AND CREDENTIALING)
(808) 987-0404
Entity
Organization

Contact information

Practice address
670 KEKUANAOA ST, HILO, HI 96720-4405
(808) 935-3378
(808) 961-0498
Mailing address
PO BOX 10742, HILO, HI 96721-5742
(808) 935-3375
(808) 961-0498

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
11/19/2019
Last updated
11/19/2019
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