Provider Demographics
NPI:1780836122
Name:NOEL I. TERMULO MD, INC.
Entity Type:Organization
Organization Name:NOEL I. TERMULO MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:ICASAS
Authorized Official - Last Name:TERMULO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-242-6478
Mailing Address - Street 1:1063 LOWER MAIN STREET
Mailing Address - Street 2:SUITE C-106
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2030
Mailing Address - Country:US
Mailing Address - Phone:808-242-6478
Mailing Address - Fax:808-242-6478
Practice Address - Street 1:1063 LOWER MAIN STREET
Practice Address - Street 2:SUITE C 106
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2030
Practice Address - Country:US
Practice Address - Phone:808-242-6478
Practice Address - Fax:808-242-6478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI#12272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty