Charles Thomas Mauro IV, MD

NPI #1205840469 in Hilo, Hawaii

Provider Information

NPI Number: 1205840469
Entity Type: Individual
Name: Charles Thomas Mauro IV, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jul 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 868 ULULANI ST
Address 2: SUITE 103
City: Hilo
State: Hawaii
ZIP Code: 96720-3913
Phone: (808) 961-3427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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