Provider First Line Business Practice Location Address:
1301 PUNCHBOWL ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPT. QUEENS'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-597-8791
Provider Business Practice Location Address Fax Number:
808-597-8781
Provider Enumeration Date:
06/27/2006