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Individual

DR. STEWART Y. MATSUMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,FACC

Contact information

Practice address
1060 YOUNG ST, SUITE 325, HONOLULU, HI 96814-1609
(808) 621-6459
Mailing address
1060 YOUNG ST, SUITE 325, HONOLULU, HI 96814-1609
(808) 621-6459

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3058
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037531-01
HI
01
X4130-6
HMSA
HI
Enumeration date
05/05/2006
Last updated
04/26/2010
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