Provider Demographics
NPI:1063694594
Name:MACALI, FRANK J (PA-C)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:MACALI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54-014 KUKUNA ST APT B
Mailing Address - Street 2:
Mailing Address - City:HAUULA
Mailing Address - State:HI
Mailing Address - Zip Code:96717-8611
Mailing Address - Country:US
Mailing Address - Phone:808-647-0669
Mailing Address - Fax:
Practice Address - Street 1:54-014 KUKUNA ST APT B
Practice Address - Street 2:
Practice Address - City:HAUULA
Practice Address - State:HI
Practice Address - Zip Code:96717-8611
Practice Address - Country:US
Practice Address - Phone:808-647-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD53363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical