# FREDERICK FONG MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013066992
- **Authorized official:** DR. FREDERICK FONG MD (PRESIDENT)
- **Authorized official phone:** (808) 531-7551

## Contact information

- **Practice address:** 1380 LUSTIANA STREET, SUITE 514, HONOLULU, HI 96813-2441
- **Practice address phone:** (808) 531-7551
- **Practice address fax:** (808) 537-3652
- **Mailing address:** 1380 LUSTIANA STREET, SUITE 514, HONOLULU, HI 96813-2441
- **Mailing address phone:** (808) 531-7551
- **Mailing address fax:** (808) 537-3652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD2477 | HI | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020