Healthcare Provider Details

I. General information

NPI: 1588839344
Provider Name (Legal Business Name): STEVEN J BERMAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST STE 810
HONOLULU HI
96813-2444
US

IV. Provider business mailing address

1380 LUSITANA ST STE 810
HONOLULU HI
96813
US

V. Phone/Fax

Practice location:
  • Phone: 808-524-0066
  • Fax: 808-524-3396
Mailing address:
  • Phone: 808-524-0066
  • Fax: 808-524-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateHI

VIII. Authorized Official

Name: MRS. HEIDE JON BERMAN
Title or Position: CORP SECRETARY
Credential:
Phone: 808-524-0066