Organization
MED HAWAII, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H GATEWOOD MD (PRESIDENT)
(805) 563-3011
Entity
Organization
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2290
Mailing address
PO BOX 8488, PHILADELPHIA, PA 19101-8488
(800) 355-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000215889
BLUECROSS / BLUESHIELD
HI
05
—
490772
—
HI
Enumeration date
02/16/2007
Last updated
01/06/2012
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