Individual
BENJAMIN T. SHURTLEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-14619
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000277525
HMSA BILLING NUMBER
HI
05
—
620882-02
—
HI
Enumeration date
03/17/2008
Last updated
05/07/2021
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