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Individual
AMELIA ANN FONG
Active
Individual
AMELIA ANN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-19193
HI
207WX0109X
Neuro-ophthalmology Physician
MD-19193
HI
Other
Enumeration date
05/22/2012
Last updated
04/04/2018
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