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General NPI Number Information
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NPI Number | 1285746636
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Entity Type | Organization
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Legal Business Name | CANCER CENTER OF HAWAII, LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2226 LILIHA ST LEVEL B-2
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City | HONOLULU
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State | HI
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Zip | 96817-1600
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Country | US
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Telephone | 808-547-6881
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Fax | 808-547-6583
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Provider Business Mailing Address
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Address Line | 2226 LILIHA ST LEVEL B-2
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City | HONOLULU
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State | HI
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Zip | 96817-1600
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Country | US
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Telephone | 808-547-6881
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Fax | 808-547-6583
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Authorized Official
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Title or Position | MANAGER/MEDICAL DIRECTOR
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Name | VINCENT C BROWN
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Credential | M.D.
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Telephone | 808-547-6881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | RT0007
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License Number State | HI
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