Provider Demographics
NPI:1659352334
Name:BREITWESER, JAMES ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLEN
Last Name:BREITWESER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 KAHA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1916
Mailing Address - Country:US
Mailing Address - Phone:808-262-8255
Mailing Address - Fax:808-433-4688
Practice Address - Street 1:TRIPLER AMC
Practice Address - Street 2:ATTN: MCHK-DR
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859-5000
Practice Address - Country:US
Practice Address - Phone:808-433-6393
Practice Address - Fax:808-433-4688
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI47642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology