Healthcare Provider Details
I. General information
NPI: 1942535620
Provider Name (Legal Business Name): ALAN G BRITTEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2009
Last Update Date: 10/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1319 PUNAHOU ST
HONOLULU HI
96826-1001
US
IV. Provider business mailing address
PO BOX 25668
HONOLULU HI
96825-0668
US
V. Phone/Fax
- Phone: 808-973-5967
- Fax:
- Phone: 808-536-0300
- Fax: 808-536-0320
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | MD-3894 |
| License Number State | HI |
VIII. Authorized Official
Name: DR.
ALAN
BRITTEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-536-0300