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NPI Code Detail

MEDICARE: G. TODD BESSINGER, MD, PHD, LLC

MEDICARE: G. TODD BESSINGER, MD, PHD, LLC
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
1207N00000XDermatology PhysicianMD13649HI

General Provider Information

NPI Number : 1851593420
Entity Type Code : Organization
Provider Name (Legal Business Name) : G. TODD BESSINGER, MD, PHD, LLC
Provider Business Mailing Address
First Line : 1029 KAPAHULU AVE
Second Line : SUITE 305
City : HONOLULU
State : HI
Zip : 96816-1305
Country : US
Telephone Number : 808-218-7889
Fax Number : 808-218-7981
Provider Business Practice Location Address
First Line : 1029 KAPAHULU AVE
Second Line : SUITE 305
City : HONOLULU
State : HI
Zip : 96816-1305
Country : US
Telephone Number : 808-218-7889
Fax Number : 808-218-7981
Authorized Official
Title or Position : MEMBER, LLC
Name : DR. GLENN TODD BESSINGER
Credential : MD, PHD
Telephone Number : 808-218-7889
Provider Enumeration Date : 06/04/2007
Last Update Date : 09/05/2007

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