Healthcare Provider Details

I. General information

NPI: 1386087187
Provider Name (Legal Business Name): STEPHEN T FOLEY MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 201
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1329 LUSITANA ST SUITE 201
HONOLULU HI
96813-2429
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 Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number14739
License Number StateHI

VIII. Authorized Official

Name: DR. STEPHEN THOMAS FOLEY
Title or Position: PRESIDENT
Credential: M.D
Phone: 808-232-8400