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Organization

NEPHROLOGY CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE WONG M.D. (PHYSICIAN)
(808) 521-3802
Entity
Organization

Contact information

Practice address
1380 LUSITANA ST, SUITE 814, HONOLULU, HI 96813-2449
(808) 521-3802
(808) 521-1738
Mailing address
1380 LUSITANA ST, SUITE 814, HONOLULU, HI 96813-2449
(808) 521-3802
(808) 521-1738

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1785
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03139301
HI
01
C03481-3
HMSA
HI
Enumeration date
06/22/2006
Last updated
08/14/2008
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