Healthcare Provider Details

I. General information

NPI: 1871534321
Provider Name (Legal Business Name): DAVID SCOTT MCCAFFREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2135 FORT WEAVER RD SUITE 170
EWA BEACH HI
96706-1940
US

IV. Provider business mailing address

91-2135 FORT WEAVER RD SUITE 170
EWA BEACH HI
96706-1940
US

V. Phone/Fax

Practice location:
  • Phone: 808-676-5331
  • Fax: 808-671-2931
Mailing address:
  • Phone: 808-676-5331
  • Fax: 808-671-2931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD5473
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: