Andrew M. Fox MD LLC

Organization Active NPI Pediatrics Physician · Kahului, HI

NPI 1285845115 · NPPES record last updated May 20, 2010

Key facts

NPI
1285845115
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
MD10042 (HI)
Legal business name
ANDREW M. FOX MD LLC
Practice address
53 S Puunene Ave
Suite 102
Kahului, HI 96732-2192
Phone
(808) 871-8611
Fax
(808) 893-0211
NPI assigned
May 24, 2007
Organization subpart
No

Authorized official

Name
Dr. Andrew Mickle Fox, M.D.
Title
Owner
Phone
(808) 871-8611

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

53 S Puunene Ave
Ste 102
Kahului, HI 96732
Phone (808) 871-8611

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X MD10042 HI Yes

Addresses

Primary practice location

53 S Puunene Ave
Suite 102
Kahului, HI 96732-2192

Mailing address

53 S Puunene Ave
Suite 102
Kahului, HI 96732-2192
Phone (808) 871-8611

Other identifiers

IdentifierTypeStateIssuer
MD10042OtherHISTATE LICENSE NUMBER
24660804MedicaidHI

Other providers in Kahului, HI

All providers in Kahului, HI · Pediatrics Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.