Organization
HENRY I WATASAKI, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY I WATASAKI M.D. (PHYSICIAN)
(808) 735-9093
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 735-9093
Mailing address
PO BOX 61118, HONOLULU, HI 96839-1118
(808) 735-9093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-3699
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04267901
—
HI
Enumeration date
06/11/2012
Last updated
06/11/2012
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