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Organization

IVF HAWAII, LLC

Active
Other names
IVF HAWAII
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENTON H.H. CHUN M.D. (PRESIDENT)
(808) 538-6655
Entity
Organization

Contact information

Practice address
1329 LUSITANA ST, SUITE 607, HONOLULU, HI 96813-2429
(808) 538-6655
(808) 537-5500
Mailing address
1329 LUSITANA ST, SUITE 607, HONOLULU, HI 96813-2429
(808) 538-6655
(808) 537-5500

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3781
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000228874
HMSA PROVIDER #
HI
01
15184449
UHA PROVIDER #
HI
01
MD3781-02
MDX HAWAII
HI
Enumeration date
11/09/2006
Last updated
11/09/2007
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