Individual
GIACOMO TOMASELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6905 HARRIS AVE, KAILUA, HI 96734
(808) 257-2837
Mailing address
2365 POND RD, KAILUA, HI 96734-4851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31264
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
08/22/2023
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