Individual
DR. BENJAMIN M. DELISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6150
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6150
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14190
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000268581
HMSA BILLING NUMBER
HI
05
—
598196-02
—
HI
Enumeration date
06/20/2007
Last updated
06/02/2021
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