Organization Name: | SUSAN M.S. CAULEY, M.D., INC. |
NPI Number: | 1013205624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN M. CAULEY (PRESIDENT) |
Mailing Address: | 82 Puuhonu Pl Suite 202 Hilo |
State: | HI US |
Postal Code: | 967202010 |
Phone Number: | 8089699966 |
Fax Number: | 8778338003 |
NPI Enumeration Date: | 07/16/2011 |
NPI Last Update Date: | 06/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 8551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |