Individual
PAUL M. GLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-4984
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000016782
HMSA BILLING NUMBER
HI
05
—
015608-01
—
HI
Enumeration date
09/22/2006
Last updated
10/11/2007
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