Individual
MELVIN C W WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98-1247 KAAHUMANU ST STE 318, AIEA, HI 96701-5301
(808) 487-7960
(808) 488-6737
Mailing address
98-1247 KAAHUMANU ST STE 318, AIEA, HI 96701-5301
(808) 487-7960
(808) 488-6737
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
6869
HI
2084V0102X
Vascular Neurology Physician
Primary
6869
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059454-01
—
HI
01
—
H50087
MEDICARE ID
HI
Enumeration date
02/14/2007
Last updated
08/31/2023
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