Dr. Benjamin Tabak
Pediatric Surgery
1 Jarrett White Rd Tripler Army Medical Center
Tripler Army Medical Center
, Hawaii 96859-5001
Dr. Benjamin Tabak
Pediatric Surgery
1 Jarrett White Rd Tripler Army Medical Center
Tripler Army Medical Center
, Hawaii 96859-5001
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Benjamin Tabak
- 1 Jarrett White Rd Tripler Army Medical Center
- Tripler Army Medical Center, HI
- Zip : 96859-5001
- Phone :
Second Address
- Dr. Benjamin Tabak
- 1 Jarrett White Rd Tripler Army Medical Center
- Tripler Army Medical Center, HI
- Zip : 96859-5001
- Phone : (808) 341-5395
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | MD15293 | HI |
National Provider Identifier
| NPI | 1659512499 |
|---|---|
| Provider Name | Dr. Benjamin Tabak |
| First Address | Tripler Army Medical Center, HI 96859-5001 |
| Second Address | Tripler Army Medical Center, HI 96859-5001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2009 |
| Last Update Date | 09/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD000 | (02) | HI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.