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Contact Information

CRISTETA T ANCOG, MD
87-2116 FARRINGTON HWY
WAIANAE, HI96792-3854
 Phone: 808-432-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CRISTETA T ANCOG · (Female)

NPI Number 1366532459
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • HI License # MD-6729
  • HI Medicaid 055527-01
  • HI Other 0000063933 HMSA BILLING NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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