Connor Goo
Internal Medicine in Honolulu, HI. Individual provider (NPI-1).
NPI number1649968280
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1649968280
- Entity type
- Individual (NPI-1)
- Name
- Connor Goo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2023
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MDR-8775 | HI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1356 Lusitana St Fl 7Honolulu, HI 96813-2409
Phone 808-586-2890
Mailing address
1356 Lusitana St Fl 7Honolulu, HI 96813-2409
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