Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD13380 | HI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD13380 | HI |
NPI | 1164406286 |
---|---|
Provider Name | Dr. Janet M Burlingame |
First Address | Kailua, HI 96734-1868 |
Second Address | Kailua, HI 96734-1868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 25/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
572330 | (05) | HI |
F89855 | (02) |