Individual
JEFFREY M CRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 442-5700
Mailing address
PO BOX 117, WAILUKU, HI 96793-0117
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MA45913
NJ
207RG0100X
Gastroenterology Physician
Primary
MD-20653
HI
207RG0100X
Gastroenterology Physician
ME95163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100238000
AMERIHEALTH
—
01
—
020016583
RRM
NJ
01
—
0263605
AMGP
—
05
—
0263605
—
NJ
01
—
4301156
AETNA
—
01
—
4511
UHC
—
01
—
812390
CIGNA
—
01
—
F02707
HEALTHNET
—
01
—
P831178
OX
—
Enumeration date
05/11/2006
Last updated
10/24/2022
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