Individual
DR. JAY M MARUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S BERETANIA ST, SUITE 750, HONOLULU, HI 96814-1870
(808) 536-2261
(808) 538-3957
Mailing address
1401 S BERETANIA ST, SUITE 750, HONOLULU, HI 96814-1870
(808) 536-2261
(808) 538-3957
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD7568
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07785702
—
HI
Enumeration date
08/31/2006
Last updated
09/29/2014
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