MEDICARE: DR. ANTOINE JEAN CAZIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	9642	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043314511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTOINE JEAN CAZIN M.D.

Provider Business Mailing Address
First Line	:	4211 WAIALAE AVE
Second Line	:	#507
City	:	HONOLULU
State	:	HI
Zip	:	96816-5306
Country	:	US
Telephone Number	:	808-732-0880
Fax Number	:	808-732-0882

Provider Business Practice Location Address
First Line	:	4211 WAIALAE AVE
Second Line	:	#507
City	:	HONOLULU
State	:	HI
Zip	:	96816-5306
Country	:	US
Telephone Number	:	808-732-0880
Fax Number	:	808-732-0882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/11/2015

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