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Individual

CLIFFORD CHUN MING WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
347 NORTH KUAKINI ST, HONOLULU, HI 96817-2377
(808) 547-9139
(808) 547-9497
Mailing address
347 NORTH KUAKINI ST, HONOLULU, HI 96817-2377
(808) 547-9139
(808) 547-9497

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD8895
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25260301
HI
Enumeration date
11/20/2006
Last updated
07/08/2007
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