Individual
DR. SUSAN M VICENTI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 AULIKE ST, SUITE 410, KAILUA, HI 96734-2758
(808) 261-3000
(808) 261-3303
Mailing address
40 AULIKE ST, SUITE 410, KAILUA, HI 96734-2758
(808) 261-3000
(808) 261-3303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7824
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073127
—
HI
Enumeration date
05/05/2006
Last updated
07/08/2007
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