Organization
MEDICINE PEDIATRICS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE TENN SALLE M.D. (CEO)
(808) 521-9404
Entity
Organization
Contact information
Practice address
550 S BERETANIA ST, STE 502, HONOLULU, HI 96813-2496
(808) 521-9404
Mailing address
550 S BERETANIA ST, STE 502, HONOLULU, HI 96813-2496
(808) 521-9404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11321MD
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50751002
—
HI
Enumeration date
08/18/2006
Last updated
07/21/2022
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