# RUSSELL WONG MD INC

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

## Provider details

- **NPI number:** 1780693267
- **Authorized official:** RUSSELL WONG M.D. (PRESIDENT)
- **Authorized official phone:** (808) 531-2731

## Contact information

- **Practice address:** 321 N KUAKINI ST STE 811, HONOLULU, HI 96817-2362
- **Practice address phone:** (808) 531-2731
- **Mailing address:** PO BOX 25370, HONOLULU, HI 96825-0370
- **Mailing address phone:** (808) 536-0300
- **Mailing address fax:** (808) 536-0320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 7430 | HI | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 10/24/2007