Individual
DR. JENIFER C. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
98-151 PALI MOMI ST, SUITE 152, AIEA, HI 96701-4300
(808) 483-6472
(808) 483-6473
Mailing address
1946 YOUNG ST, SUITE 360, HONOLULU, HI 96826-2150
(808) 973-7320
(808) 973-7325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-7853
HI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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