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Individual

GORDON W.T. NG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 522-0190
(808) 523-9068
Mailing address
321 N KUAKINI ST, SUITE 405, HONOLULU, HI 96817-2364
(808) 522-0190
(808) 523-9068

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD7714
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000095448
QUEST HMSA
HI
05
0007343502
HI
05
0007343503
HI
01
0095448
HMSA
HI
01
00B0095444
QUEST HMSA
HI
01
073435-02
ST DEPT OF PUB SAFETY
HI
01
07343502
QUEST ALOHACARE
HI
01
103802483
US MARSHALL SVC-FED DET C
HI
01
108-2145098
AETNA
HI
01
201243800
US LABOR DEPT
HI
01
300044845
PALMETTO GBA
HI
01
990157698-96701-B005
TRICARE
HI
01
990157698-96817-E005
TRICARE
HI
01
990157698006
HI ELEC
HI
01
B095444
HMSA
HI
01
MD7714
QUEENS HEALTHCARE
HI
Enumeration date
04/19/2006
Last updated
10/28/2008
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