Individual
HOWARD NEUDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-239 WAIPAHU DEPOT ST, 106, WAIPAHU, HI 96797-3056
(808) 677-1912
(866) 610-1585
Mailing address
94-830 LELEPUA ST, A, WAIPAHU, HI 96797-5124
(808) 677-1912
(866) 610-1585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD - 7199
HI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
7199
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00915101
—
HI
Enumeration date
12/27/2005
Last updated
05/07/2013
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