| Doctor Name: | DR. ROBERT HENRY NATHANSON |
| NPI Number: | 1316389828 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ROBERT NATHANSON |
| License Number: | 1095 |
| Business Practice Address: | 1520 Ward Ave #602 Honolulu, HI - 968223569 |
| Business Phone Number: | 1808637453 |
| Business Fax Number: | 1808637453 |
| Mailing Address: | 68-615 Farrington Hwy, #19a WAIALUA |
| State: | HI |
| Postal Code: | 967919377 |
| Phone Number: | 1808637453 |
| Fax Number: | 1808637453 |
| NPI Enumeration Date: | 07/25/2013 |
| NPI Last Update Date: | 07/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |