Healthcare Provider Details

I. General information

NPI: 1891993853
Provider Name (Legal Business Name): STEPHEN THOMAS FOLEY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 10TH AVE
HONOLULU HI
96816-2224
US

IV. Provider business mailing address

647 10TH AVE
HONOLULU HI
96816-2224
US

V. Phone/Fax

Practice location:
  • Phone: 808-232-8400
  • Fax:
Mailing address:
  • Phone: 808-232-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4562
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: