Individual
DR. CHARLES MARK PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA RD, LABORATORY, AIEA, HI 96701-4713
(808) 485-4517
(808) 485-4381
Mailing address
98-1079 MOANALUA RD, LABORATORY, AIEA, HI 96701-4713
(808) 485-4517
(808) 485-4381
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD7894
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4857501
—
HI
01
—
A55283
HMSA
HI
01
—
MD789401
QUEENS
HI
Enumeration date
08/19/2006
Last updated
07/08/2007
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