Individual
DR. WALLACE J MATTHEWS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 S KING ST, SUITE 300, HONOLULU, HI 96814-2009
(808) 593-9944
(808) 593-0565
Mailing address
1350 S KING ST, SUITE 300, HONOLULU, HI 96814-2009
(808) 593-9944
(808) 593-0565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD4255
HI
2080P0214X
Pediatric Pulmonology Physician
Primary
MD4255
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004481
QHMS
HI
01
—
00519101
QALC
HI
05
—
00519101
—
HI
01
—
04481
HMSA
HI
01
—
192509
HMAI
HI
01
—
J4489
HMSA
HI
01
—
MD4255-01
QHCP
HI
Enumeration date
09/25/2006
Last updated
09/11/2025
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