Organization
HAROLD NILSSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD NILSSON MD (OWNER)
(808) 941-2772
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD STE 825, HONOLULU, HI 96814-4457
(808) 941-2772
Mailing address
1441 KAPIOLANI BLVD STE 825, HONOLULU, HI 96814-4457
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD7520
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174544878
—
HI
Enumeration date
05/19/2017
Last updated
05/19/2017
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