MICHAEL B. RUSSO MD INC NPI 1477806214

NPI Information

MICHAEL B. RUSSO MD INC is a non pharmacy dispensing site in Honolulu, HI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MICHAEL B. RUSSO MD INC NPI is 1477806214. The provider is registered as an organization entity type.
The provider Is Doing Business As Hawaii Pacific Deeg.

The provider's business location address is:

320 WARD AVE
SUITE 101
HONOLULU, HI
ZIP 96814-001
Phone: (808) 294-3332
Fax: (808) 748-2920

The provider's authorized official is Michael B. Russo .
The authorized official title is Owner and has the following contact phone number (808) 294-3332.

The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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