Individual
DR. ANTONIO CHAN ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 LUNALILO HOME RD, UNIT # 7112, HONOLULU, HI 96825-1700
(808) 394-8788
(808) 394-8788
Mailing address
520 LUNALILO HOME RD, UNIT # 7112, HONOLULU, HI 96825-1700
(808) 394-8788
(808) 394-8788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14602
HI
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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