MEDICARE: ALLEN STRASBERGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	5620	HI

General Provider Information

NPI Number	:	1063519965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN STRASBERGER MD

Provider Business Mailing Address
First Line	:	46-001 KAMEHAMEHA HWY
Second Line	:	SUITE #412
City	:	KANEOHE
State	:	HI
Zip	:	96744-3711
Country	:	US
Telephone Number	:	808-735-7681
Fax Number	:	808-734-0027

Provider Business Practice Location Address
First Line	:	46-001 KAMEHAMEHA HWY
Second Line	:	SUITE #412
City	:	KANEOHE
State	:	HI
Zip	:	96744-3711
Country	:	US
Telephone Number	:	808-735-7681
Fax Number	:	808-734-0027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/14/2017

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