Organization
KAPAA PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE TZU TAN LAM M.D. (MANAGER)
(808) 220-7062
Entity
Organization
Contact information
Practice address
4-1461 KUHIO HWY, KAPAA, HI 96746-1715
(808) 220-7062
(808) 822-0938
Mailing address
4-1461 KUHIO HWY, KAPAA, HI 96746-1715
(808) 220-7062
(808) 822-0938
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15126
HI
208000000X
Pediatrics Physician
Primary
15518
HI
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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