MEDICARE: DR. ALAN ABRAHAM BUFFENSTEIN 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	2084P0800X	Psychiatry Physician	5407	HI
2	2084P0805X	Geriatric Psychiatry Physician	5407	HI
3	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	5407	HI

General Provider Information

NPI Number	:	1639278104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN ABRAHAM BUFFENSTEIN M.D

Provider Business Mailing Address
First Line	:	1100 WARD AVE
Second Line	:	#1070
City	:	HONOLULU
State	:	HI
Zip	:	96814-1600
Country	:	US
Telephone Number	:	808-548-5400
Fax Number	:	808-548-5408

Provider Business Practice Location Address
First Line	:	1100 WARD AVE
Second Line	:	#1070
City	:	HONOLULU
State	:	HI
Zip	:	96814-1600
Country	:	US
Telephone Number	:	808-548-5400
Fax Number	:	808-548-5408

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	02/01/2011

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Directions to “ DR. ALAN ABRAHAM BUFFENSTEIN M.D” Practice Location

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