Individual
DR. GREGORY AARON RACZNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D., M.PHIL
Contact information
Practice address
1 CORAL SEA ST, KAPOLEI, HI 96707-3693
(808) 682-2673
(808) 682-2779
Mailing address
1 CORAL SEA ST, KAPOLEI, HI 96707-3693
(808) 682-2673
(808) 682-2779
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101238610
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BR9394494
FDA LICENSE
—
Enumeration date
03/09/2006
Last updated
08/20/2021
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