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Organization
HONOLULU PLASTIC SURGERY LLC
Active
Organization
HONOLULU PLASTIC SURGERY LLC
Active
Other names
Randy Wong MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH KAI MING WONG M.D. (MEMBER)
(808) 792-6262
Entity
Organization
Contact information
Practice address
1100 WARD AVE, STE 808, HONOLULU, HI 96814-1600
(808) 792-6262
(808) 792-6263
Mailing address
PO BOX 235627, HONOLULU, HI 96823-3510
(808) 792-6262
(808) 792-6263
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7302
HI
Other
Enumeration date
03/02/2010
Last updated
01/08/2013
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