Individual
DR. SIDNEY M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 PUNAHOU ST, SUITE 600, HONOLULU, HI 96826-1001
(808) 983-6210
(808) 983-6211
Mailing address
1946 YOUNG ST, SUITE 360, HONOLULU, HI 96826-2150
(808) 973-7320
(808) 973-7325
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD-13512
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000254714
HMSA
HI
01
—
3819137
UHA
HI
05
—
57121701
—
HI
Enumeration date
09/13/2006
Last updated
07/09/2007
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