Basic Information
Provider Information
NPI: 1386744159
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRITTEN
FirstName: ALAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 25668
Address2:  
City: HONOLULU
State: HI
PostalCode: 968250668
CountryCode: US
TelephoneNumber: 8085360300
FaxNumber: 8085360320
Practice Location
Address1: 1319 PUNAHOU ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968261001
CountryCode: US
TelephoneNumber: 8085360314
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 10/11/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X3894HIY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
0192050105HI MEDICAID


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