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NPI Code Detail

MEDICARE: JULIE WON IRELAND MD

MEDICARE:   JULIE WON IRELAND  MD
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
1207SG0201XClinical Genetics (M.D.) PhysicianMD-11842HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20000257543OTHERHIHMSA BILLING NUMBER

General Provider Information

NPI Number : 1285729640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE WON IRELAND MD
Provider Business Mailing Address
First Line : 91-2139 FORT WEAVER RD
Second Line : STE 100
City : EWA BEACH
State : HI
Zip : 96706-3607
Country : US
Telephone Number : 808-676-4224
Fax Number :
Provider Business Practice Location Address
First Line : 91-2139 FORT WEAVER RD STE 100
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-3608
Country : US
Telephone Number : 808-676-4224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 12/21/2016

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Directions to “ JULIE WON IRELAND MD” Practice Location

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