Individual
DR. WEGA KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 585-5494
(808) 585-5490
Mailing address
677 ALA MOANA BLVD STE 1025, HONOLULU, HI 96813-5471
(808) 535-5975
(808) 535-5976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD12697
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544488-02
—
HI
05
—
544488-03
—
HI
Enumeration date
05/18/2006
Last updated
12/03/2021
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