Individual
DR. JESSICA SUZANNE BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S BERETANIA ST, SUITE 601, HONOLULU, HI 96813-2414
(808) 691-8877
(808) 691-8875
Mailing address
550 S BERETANIA ST, SUITE 601, HONOLULU, HI 96813-2414
(808) 691-8877
(808) 691-8875
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
14175
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000278200
HMSA BILLING NUMBER
HI
05
—
622573-02
—
HI
Enumeration date
07/09/2007
Last updated
11/11/2016
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