Organization
GASTROENTEROLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN M MONTELL M.D. (PRESIDENT)
(808) 935-1956
Entity
Organization
Contact information
Practice address
134 PUUHONU WAY, HILO, HI 96720-2067
(808) 969-3979
(808) 935-7657
Mailing address
134 PUUHONU WAY, HILO, HI 96720-2067
(808) 969-3979
(808) 935-7657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000079392
HMSA QUEST
HI
01
—
007939-2
HMSA
HI
05
—
05976201
—
HI
Enumeration date
08/16/2006
Last updated
08/22/2020
Update your record
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