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NPI Code Detail

MEDICARE: COONEY, M.D. INC

MEDICARE: COONEY, M.D. INC
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
12084P0015XPsychosomatic Medicine Physician

General Provider Information

NPI Number : 1659597383
Entity Type Code : Organization
Provider Name (Legal Business Name) : COONEY, M.D. INC
Provider Business Mailing Address
First Line : 1029 KAPAHULU AVE
Second Line : STE 310
City : HONOLULU
State : HI
Zip : 96816-1305
Country : US
Telephone Number :
Fax Number : 808-733-5122
Provider Business Practice Location Address
First Line : 1029 KAPAHULU AVE
Second Line : STE 310
City : HONOLULU
State : HI
Zip : 96816-1305
Country : US
Telephone Number : 808-486-3600
Fax Number : 808-733-5122
Authorized Official
Title or Position : OWNER
Name : JON COONEY
Credential : MD
Telephone Number : 808-486-3600
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/31/2020

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Directions to “COONEY, M.D. INC ” Practice Location

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