Organization
PEARL CITY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGIT KL ROVNER M.D. (PRESIDENT)
(808) 488-1943
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-0990
(808) 486-4696
Mailing address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-0990
(808) 486-4696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50370701
—
HI
Enumeration date
06/15/2006
Last updated
11/02/2009
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