Organization
WGH PATHOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD C. WONG MD (PRESIDENT)
(808) 621-4354
Entity
Organization
Contact information
Practice address
128 LEHUA ST, LABORATORY, WAHIAWA, HI 96786
(808) 621-4354
(808) 621-4457
Mailing address
1585 KAPIOLANI BLVD, SUITE 1800, HONOLULU, HI 96814-4522
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01533301
—
HI
Enumeration date
04/25/2006
Last updated
12/06/2010
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