Individual
DR. ELLEN H SOFIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 CALIFORNIA AVE, STE 210, WAHIAWA, HI 96786-1841
(808) 291-4274
(808) 622-1808
Mailing address
302 CALIFORNIA AVE, STE 210, WAHIAWA, HI 96786-1841
(808) 291-4274
(808) 622-1808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD5940
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51863101
—
HI
Enumeration date
11/01/2006
Last updated
12/02/2016
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