Individual
DR. CRISTETA T. ANCOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
87-2116 FARRINGTON HWY, WAIANAE, HI 96792-3854
(808) 432-3500
Mailing address
87-2116 FARRINGTON HWY, WAIANAE, HI 96792-3854
(808) 432-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-6729
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000063933
HMSA BILLING NUMBER
HI
05
—
055527-01
—
HI
Enumeration date
10/13/2006
Last updated
07/09/2007
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