Organization
GODOFREDO B. BACLIG, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODOFREDO BACLIG M.D. (PRESIDENT)
(808) 524-5024
Entity
Organization
Contact information
Practice address
405 N KUAKINI ST, SUITE 1112, HONOLULU, HI 96817-6300
(808) 524-5024
(808) 524-5715
Mailing address
405 N KUAKINI ST, SUITE 1112, HONOLULU, HI 96817-6300
(808) 524-5024
(808) 524-5715
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD-8967
HI
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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