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Individual

PETER CHIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1360 S BERETANIA ST, #215, HONOLULU, HI 96814-1520
(808) 532-3711
(808) 532-3713
Mailing address
101 KULANANI PL, KULA, HI 96790-7607

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-7143
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059135-01
ACS
01
A018
CHAMPUS TRICARE
Enumeration date
06/23/2006
Last updated
07/08/2007
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