Healthcare Provider Details

I. General information

NPI: 1750682829
Provider Name (Legal Business Name): ROBERT C. MARVIT, M.D.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 10/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 PUEO ST
HONOLULU HI
96816-5234
US

IV. Provider business mailing address

929 PUEO ST
HONOLULU HI
96816-5234
US

V. Phone/Fax

Practice location:
  • Phone: 808-737-9301
  • Fax: 808-737-9301
Mailing address:
  • Phone: 808-737-9301
  • Fax: 808-737-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1532
License Number StateHI

VIII. Authorized Official

Name: DR. ROBERT CHARLES MARVIT
Title or Position: CEO
Credential: M.D.
Phone: 808-737-9301