Individual
DR. CONSTANTIN NOVOSELSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 442-5503
(808) 442-5512
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14874
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2008
Last updated
03/29/2019
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