Organization
HONOLULU PLASTIC SURGERY LLC
Active
Other names
Randy Wong MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH KAI MING WONG M.D. (MEMBER)
(808) 792-6262
Entity
Organization
Contact information
Practice address
1100 WARD AVE, STE 808, HONOLULU, HI 96814-1600
(808) 792-6262
(808) 792-6263
Mailing address
PO BOX 235627, HONOLULU, HI 96823-3510
(808) 792-6262
(808) 792-6263
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7302
HI
Other
Enumeration date
03/02/2010
Last updated
01/08/2013
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