Organization
DERYLL U AMBROCIO MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERYLL ULEP AMBROCIO MD (PRESIDENT)
(808) 531-7111
Entity
Organization
Contact information
Practice address
1329 LUSITANA ST, SUITE 804, HONOLULU, HI 96813-2429
(808) 531-7111
(808) 528-5507
Mailing address
1329 LUSITANA ST, SUITE 804, HONOLULU, HI 96813-2429
(808) 531-7111
(808) 528-5507
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD-15066
HI
Other
Enumeration date
05/12/2009
Last updated
08/27/2010
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