Individual
DR. MARK HADDAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2290
Mailing address
120 HANA HWY, #9, PAIA, HI 96779-9745
(808) 870-9393
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8521
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06989301
—
HI
Enumeration date
06/13/2006
Last updated
07/08/2007
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