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Ryan Anthony Fisicaro, MD
Diagnostic Radiology Physician in Honolulu, Hawaii
NPI 1639529910

Ryan Anthony Fisicaro is a Diagnostic Radiology Physician based in Philadelphia, HI and is specialized in Diagnostic Radiology. Ryan Anthony Fisicaro practices in Honolulu, HI and has the professional credentials of MD. The NPI Number for Ryan Anthony Fisicaro is 1639529910 and holds a License No. MT211183 (Hawaii).

The current practice location address for Ryan Anthony Fisicaro is 1301 Punchbowl St, Honolulu, HI and can be reached out via phone at 808-691-1000.

Location: 1301 Punchbowl St, Honolulu, HI, 19141-3018
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Provider Profile Details
NPI Number
1639529910
Provider Name
Ryan Anthony Fisicaro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1301 Punchbowl St, Honolulu, HI, 19141-3018
Phone Number
808-691-1000
Fax Number
Provider Enumeration Date
06/16/2016
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT211183 01 PA MEDICAL TRAINING LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1301 Punchbowl St
City
State
Zip
96813-2499
Phone Number
808-691-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Punchbowl St
City
State
Zip
96813-2499
Phone Number
808-691-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD24354 (Hawaii)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MT211183 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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