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Organization

PEDIATRIC GROUP OF HONOLULU, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL T HARTLEY M.D. (PARTNER)
(808) 955-7845
Entity
Organization

Contact information

Practice address
1319 PUNAHOU ST, SUITE 1100, HONOLULU, HI 96826-1001
(808) 955-7845
(808) 946-3071
Mailing address
1319 PUNAHOU ST, SUITE 1100, HONOLULU, HI 96826-1001
(808) 955-7845
(808) 946-3071

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250788
HI
Enumeration date
07/25/2006
Last updated
08/22/2020
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