Individual
DR. NICHOLAS S FERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 538-9011
Mailing address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-20321
HI
390200000X
Student in an Organized Health Care Education/Training Program
MED0001932028
ZZ
Other
Enumeration date
04/02/2016
Last updated
08/05/2019
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