Individual
MANKWAN T WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
(808) 942-8727
(808) 948-9649
Mailing address
1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
(808) 942-8727
(808) 948-9649
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
11859
HI
332900000X
Non-Pharmacy Dispensing Site
11859
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50787402
—
HI
01
—
B0235800
HMSA
HI
Enumeration date
10/11/2007
Last updated
11/03/2017
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