Individual
ED G FESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3038 LA PIETRA CIR, HONOLULU, HI 96815
(808) 345-2605
Mailing address
3038 LA PIETRA CIR, HONOLULU, HI 96815
(808) 345-2605
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
C39876
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD-12264
HI
Other
Enumeration date
02/16/2009
Last updated
09/12/2013
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