Individual
DR. FREDERICK FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST, SUITE 514, HONOLULU, HI 96813-2449
(808) 531-7551
(808) 537-3652
Mailing address
1380 LUSITANA ST, SUITE 514, HONOLULU, HI 96813-2449
(808) 531-7551
(808) 537-3652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2477
HI
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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