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Organization
MANKWAN WONG, M.D., LLC
Active
Organization
MANKWAN WONG, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANKWAN THOMAS WONG M.D. (PRESIDENT)
(808) 942-8727
Entity
Organization
Contact information
Practice address
1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
(808) 942-8727
(808) 946-9849
Mailing address
1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
(808) 942-8727
(808) 946-9849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11859
HI
332900000X
Non-Pharmacy Dispensing Site
11859
HI
Other
Enumeration date
10/28/2006
Last updated
03/12/2018
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