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NPI Code Detail

MEDICARE: DR. GEORGE HERBERT SEBERG JR. M.D.

MEDICARE:  DR. GEORGE HERBERT SEBERG JR. 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
1207R00000XInternal Medicine PhysicianMD-3219HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2M5141-9OTHERHIHMSA

General Provider Information

NPI Number : 1245394543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE HERBERT SEBERG JR. M.D.
Provider Business Mailing Address
First Line : 2324 NUUANU AVE
Second Line :
City : HONOLULU
State : HI
Zip : 96817-1714
Country : US
Telephone Number : 808-536-3222
Fax Number : 808-545-3099
Provider Business Practice Location Address
First Line : 850 W HIND DR
Second Line : STE 109
City : HONOLULU
State : HI
Zip : 96821-1845
Country : US
Telephone Number : 808-373-5728
Fax Number : 808-377-3432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 01/30/2019

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Directions to “ DR. GEORGE HERBERT SEBERG JR. M.D.” Practice Location

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