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Individual

JOSEPH L. GERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
221 MAHALANI STREET, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
221 MAHALANI STREET, MEDICAL STAFF SERVICES, WAILUKU, HI 96793-2526
(808) 244-9056

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD-12179
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000238204
HMSA BILLING NUMBER
HI
05
525131-01
HI
Enumeration date
09/22/2006
Last updated
08/16/2010
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