Wallace J Matthews in Honolulu - Pediatrics

Wallace J Matthews - NPI 1619078615

Wallace J Matthews is a Pediatrics in Honolulu, Hawaii. Wallace J Matthews practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Wallace J Matthews is 1619078615. The last update date is 2007-07-08.

Wallace J Matthews's current location address is 1350 S King St, Honolulu, Hawaii. You can contact this provider via phone number 8085939944 and fax number 8085930565. The mailing address for Wallace J Matthews is 1350 S King St, Honolulu, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Wallace J Matthews
Address 1350 S King St, Honolulu, Hawaii
Phone Number 8085939944
Fax Number 8085930565
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1619078615
Provider Enumeration Date 2006-09-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1350 S King St
City Honolulu
State Hawaii (HI)
Post Code 968142009
Phone Number 8085939944
Fax Number 8085930565

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD4255
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
519101 HI --
MD4255-01 HI QHCP
4481 HI QHMS
519101 HI QALC
192509 HI HMAI
4481 HI HMSA
J4489 HI HMSA

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FAQs about Wallace J Matthews

What is the unique identifier code issued to Wallace J Matthews by the Centers for Medicare & Medicaid Services?

The Wallace J Matthews has been assigned the NPI (National Provider Identifier) 1619078615. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wallace J Matthews is physically located?

The Wallace J Matthews is situated at the following address: 1350 S King St, Honolulu, HI 968142009.

What is Wallace J Matthews's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wallace J Matthews's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date was the 1619078615 assigned to Wallace J Matthews?

The Wallace J Matthews was issued its 1619078615 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Wallace J Matthews receive the assignment of its 1619078615 from the Centers for Medicare & Medicaid Services?

The Wallace J Matthews was issued its 1619078615 by the Centers for Medicare & Medicaid Services on 2006-09-25.

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