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Organization

MELVIN C. W. WONG M, D, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN C W WONG M. D (PRESIDENT)
(808) 487-4960
Entity
Organization

Contact information

Practice address
98-1247 KAAHUMANU ST, SUITE 318, AIEA, HI 96701-5311
(808) 487-7960
(808) 488-6737
Mailing address
98-1247 KAAHUMANU ST, SUITE 318, AIEA, HI 96701-5311
(808) 487-7960
(808) 488-6737

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 6869
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H100940
HI
Enumeration date
03/28/2014
Last updated
03/28/2014
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