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ALOIAMOA ANESI MBCHB

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770790768

Individual Registrant:
 ALOIAMOA  ANESI MBCHB
Gender: M
Not Sole Proprietor

Location and contact information for practice:
96796 TURNER DRIVE  PAGO PAGO, AS 96799 US
Tel: 684-633-1683  Fax: 684-633-5107

Contact information for business:
PO BOX LBJTMC  PAGO PAGO, AS 96799 US
Tel: 684-633-1683  Fax: 684-633-5107

Registration Information:
NPI: 1770790768
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
AS2009C
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
ASE12345

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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