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Individual

GLEN H SUGIYAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1329 LUSITANA ST, SUITE 203, HONOLULU, HI 96813
(808) 538-3021
(808) 533-6397
Mailing address
820 MILIANI STREET, SUITE 702A, HONOLULU, HI 96813
(808) 523-9363
(808) 523-9418

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 4337
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01112001
HI
01
C011621
HMSA
HI
Enumeration date
02/27/2006
Last updated
01/04/2011
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