Individual
DR. MARY ANN ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 AULIKE ST,, #301, KAILUA, HI 96734
(808) 261-8894
(808) 261-8894
Mailing address
651 ILALO ST, MEB 3RD FLOOR, HONOLULU, HI 96813-5525
(808) 692-1000
(808) 692-1251
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD4592
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016257-02
—
HI
Enumeration date
05/12/2006
Last updated
07/08/2007
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