| Benjamin V Gozun Iii Md Inc | |
|
94-216 Farrington Hwy Suite B2-101 Waipahu HI 96797-1922 | |
| (808) 678-0091 | |
| (808) 677-1372 |
| Full Name | Benjamin V Gozun Iii Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 94-216 Farrington Hwy, Waipahu, Hawaii |
| Authorized Official Name and Position | Benjamin Victor Gozun (PRESIDENT) |
| Authorized Official Contact | 8086780091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin V Gozun Iii Md Inc 94-216 Farrington Hwy Suite B2-101 Waipahu HI 96797-1922 Ph: (808) 678-0091 | Benjamin V Gozun Iii Md Inc 94-216 Farrington Hwy Suite B2-101 Waipahu HI 96797-1922 Ph: (808) 678-0091 |
| NPI Number | 1851590913 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 12/03/2009 |
| Medicare PECOS PAC ID | 6103804364 |
|---|---|
| Medicare Enrollment ID | O20040713000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851590913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin Victor Gozun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598853012 PECOS PAC ID: 5890773055 Enrollment ID: I20040714001373 |
| Provider Name | Fortunata N Gozun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225126741 PECOS PAC ID: 3870571037 Enrollment ID: I20040715001259 |
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