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Dr. Robert Randolph Waterford, MD
Vascular Surgery Physician in Kahului, Hawaii
NPI 1376559203

Robert Randolph Waterford is a Vascular Surgery Physician based in Wailuku, HI and is specialized in Vascular Surgery. Robert Randolph Waterford practices in Kahului, HI and has the professional credentials of MD. The NPI Number for Robert Randolph Waterford is 1376559203 and holds a License No. 15055 (Hawaii).

The current practice location address for Robert Randolph Waterford is 385 Hukilike St, Kahului, HI and can be reached out via phone at 808-871-8346 and via fax at 808-871-8344.

Location: 385 Hukilike St, Kahului, HI, 96793-0923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376559203
Provider Name
Robert Randolph Waterford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
385 Hukilike St, Kahului, HI, 96793-0923
Phone Number
808-871-8346
Fax Number
808-871-8344
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BW115Y 01 HI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
385 Hukilike St
City
Kahului
State
Hawaii
Zip
96732-3522
Phone Number
808-871-8346
Fax Number
808-871-8344
person
Provider Business Mailing Address Details
Address
385 Hukilike St
City
Kahului
State
Hawaii
Zip
96732-3522
Phone Number
808-871-8346
Fax Number
808-871-8344
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
15055 (Hawaii)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
15055 (Hawaii)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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