Healthcare Provider Details

I. General information

NPI: 1811929904
Provider Name (Legal Business Name): GEORGE DRUGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 704
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1329 LUSITANA ST SUITE 704
HONOLULU HI
96813-2429
US

V. Phone/Fax

Practice location:
  • Phone: 808-524-2100
  • Fax: 808-534-0593
Mailing address:
  • Phone: 808-524-2100
  • Fax: 808-534-0593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number207RP1001X
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: