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Individual

DR. ANTHONY R GIASOLLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
45-549 PLUMERIA ST, HAMAKUA HEALTH CENTER INC, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404
Mailing address
45-549 PLUMERIA ST, HAMAKUA HEALTH CENTER INC, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD8087
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121813
MEDICARE FQHC
05
51864901
HI
01
HHC
MEDICARE PART B
Enumeration date
12/20/2005
Last updated
10/30/2017
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