Individual
GERARD MORENO ANTOINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TAMC, HI 96859-5001
(808) 433-6309
Mailing address
276 KAHAKO ST, KAILUA, HI 96734-5904
(808) 261-0022
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01057990A
IN
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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