Organization
DIRECT DERMATOLOGY PROFESSIONALS HAWAII PC
Active
Organization
DIRECT DERMATOLOGY PROFESSIONALS HAWAII PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WONG M.D. (PRESIDENT)
(855) 944-7546
Entity
Organization
Contact information
Practice address
1380 LUSITANA ST STE 814, HONOLULU, HI 96813-2444
(855) 944-7546
Mailing address
530 LYTTON AVE FL 2, PALO ALTO, CA 94301-1541
(855) 944-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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