Organization
RESTIVO PLASTIC SURGERY-MAUI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY RESTIVO DO (DO)
(808) 868-3888
Entity
Organization
Contact information
Practice address
100 WAILEA IKE DR UNIT 7, WAILEA, HI 96753-9514
(808) 868-3888
(808) 868-3003
Mailing address
100 WAILEA IKE DR UNIT 7, WAILEA, HI 96753-9514
(808) 868-3888
(808) 868-3003
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20A9243
CA
261Q00000X
Clinic/Center
P0927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609036425
NPI
CA
Enumeration date
05/05/2015
Last updated
05/10/2023
Update your record
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