Provider Demographics
NPI:1043319502
Name:FIALKOWSKI, ERIC JOHN (RT (R) ARRT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JOHN
Last Name:FIALKOWSKI
Suffix:
Gender:M
Credentials:RT (R) ARRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SAND ISLAND ACCESS RD.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819
Mailing Address - Country:US
Mailing Address - Phone:808-842-2930
Mailing Address - Fax:808-842-2956
Practice Address - Street 1:400 SAND ISLAND PKWY
Practice Address - Street 2:ISC MEDICAL
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4326
Practice Address - Country:US
Practice Address - Phone:808-842-2930
Practice Address - Fax:808-842-2956
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other