Organization
CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONITA PREM ADIP MD (CHIEF MEDICAL OFFICER)
(684) 699-3279
Entity
Organization
Contact information
Practice address
4099 NUUULI, PAGO PAGO, AS 96799
(684) 733-0833
Mailing address
PO BOX 4099, PAGO PAGO, AS 96799-4099
(684) 733-0833
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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