Pacific Nephrology Llc

NPI 1265862221 - Clinic/Center - 261QM2500X

NPI Details
NPI 1265862221
Enumeration Date 11/12/2013
Last Updated 11/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JAY IAN JAY
Position PHYSICIAN - MEMBER AND MANAGER
Phone (808) 244-9555
Fax (808) 244-9577
Practice Location
105 MAUILANI PKWY
WAILUKU HI, 96793-2443, US
Phone (808) 244-9555
Fax (808) 244-9577
Business Location
105 MAUILANI PKWY
WAILUKU HI, 96793-2443, US
Phone (808) 244-9555
Fax (808) 244-9577
Toxanomy
Taxonomy Code 261QM2500X
License State Hawaii
License Number MD-12546
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According to our database, Pacific Nephrology Llc NPI is 1265862221, taxonomy code is 261QM2500X and license number is MD-12546, license state is located at Hawaii. Pacific Nephrology Llc physically located at 105 Mauilani Pkwy, Wailuku HI, 96793-2443. NPI Number 1033115704 has the healthcare provider type.

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1265862221 NPI number is provided on an as is basis without warranty of any kind. 1265862221 is maintained by the National Plan & Provider Enumeration System. The contents of Pacific Nephrology Llc are for informational purposes only.