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Individual

DR. JIRO SAEGUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 KAPIOLANI BLVD, SUITE 1904, HONOLULU, HI 96814-4402
(808) 946-0990
(808) 946-4001
Mailing address
1441 KAPIOLANI BLVD, SUITE 1904, HONOLULU, HI 96814-4402
(808) 946-0990
(808) 946-4001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H2810
HI
261Q00000X
Clinic/Center
H2810
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H55397
MEDICARE PROVIDER
Enumeration date
01/30/2008
Last updated
01/30/2008
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