Provider Demographics
NPI:1477870897
Name:RICHARDSON, ANDREW BARRISTER (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BARRISTER
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1401 S BERETANIA ST STE 750
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1881
Mailing Address - Country:US
Mailing Address - Phone:808-356-5645
Mailing Address - Fax:808-356-5646
Practice Address - Street 1:1401 S BERETANIA ST STE 750
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1881
Practice Address - Country:US
Practice Address - Phone:808-356-5645
Practice Address - Fax:808-356-5646
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-24
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI18628207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery