NPI 1265609283

Ncl

Organisation Point of Service Waianae, HI

Practice location

Address: 85-175 Farrington Hwy B-301, Waianae, HI 96792
Phone: (808) 989-0865
Mailing address: 85-175 Farrington Hwy B-301, Waianae, HI 96792-2154

Authorised official

Name: Paul Thomas Oconnor
Title: Medical Doctor
Phone: (808) 989-0865

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence DOS-787 (HI)

Other Point of Service providers in Hawaii →

Registry record

NPI: 1265609283
Entity type: Organization
NPI issued: 8 May 2008
Record last updated: 20 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.