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Individual

VIEN THAT TON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1575 S BERETANIA ST #201-202, HONOLULU, HI 96826-1149
(808) 946-1712
(808) 946-1728
Mailing address
1575 S BERETANIA ST #201-202, HONOLULU, HI 96826-1149
(808) 946-1712
(808) 946-1728

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3988
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04745301
HI
01
A53890
HMSA
HI
Enumeration date
08/13/2006
Last updated
07/08/2007
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