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Organization
PON-SANG CHAN MD INC
Active
Organization
PON-SANG CHAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PON-SANG CHAN M.D. (PRESIDENT)
(808) 591-2118
Entity
Organization
Contact information
Practice address
321 N KUAKINI ST STE 704, HONOLULU, HI 96817-2362
(808) 591-2118
(808) 593-0922
Mailing address
321 N KUAKINI ST STE 704, HONOLULU, HI 96817-2362
(808) 591-2118
(808) 593-0922
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD 4414
HI
Other
Enumeration date
03/28/2006
Last updated
06/10/2020
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