Organization
LEEWARD RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAE MAMEA (OFFICE MANAGER)
(808) 678-9000
Entity
Organization
Contact information
Practice address
91-2135 FORT WEAVER RD, STE B120, EWA BEACH, HI 96706-1929
(808) 678-9000
(808) 677-1040
Mailing address
91-2135 FORT WEAVER RD, STE B120, EWA BEACH, HI 96706-1929
(808) 678-9000
(808) 677-1040
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
RT0002
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24785101
—
HI
Enumeration date
06/17/2005
Last updated
10/14/2008
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