Doctor Name: | DR. ANDREW J. BALDWIN |
NPI Number: | 1225101256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD-13078 |
Business Practice Address: | Mobile Diving And Salvage Unit One Bldg 17, Bishop Point, Hickam Afb Pearl Harbor, HI - 96860 |
Business Phone Number: | 8084719292 |
Business Fax Number: | 8084711803 |
Mailing Address: | 1946 Young St, Suite 360 HONOLULU |
State: | HI |
Postal Code: | 968262150 |
Phone Number: | 8089737320 |
Fax Number: | 8089737325 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-13078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |