Individual
DR. ROBERT J MEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 AULIKE ST, SUITE 506, KAILUA, HI 96734-2739
(808) 261-4658
(808) 263-2036
Mailing address
30 AULIKE ST, SUITE 506, KAILUA, HI 96734-2739
(808) 261-4658
(808) 263-2036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD4076
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0022705
HMSA
HI
05
—
020547-01
—
HI
01
—
197302100
DEPT OF LABOR FEDERAL
HI
01
—
4390580001
DMERC
HI
01
—
MD407601
QUEENS QUEST
HI
Enumeration date
02/16/2006
Last updated
01/03/2024
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