Individual
DR. BRADLEY DAIJUNG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S BERETANIA ST, SUITE 501, HONOLULU, HI 96813-2496
(808) 528-4144
(808) 525-6868
Mailing address
550 S BERETANIA ST, SUITE 501, HONOLULU, HI 96813-2496
(808) 528-4144
(808) 525-6868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2954
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04555001
—
HI
Enumeration date
06/09/2006
Last updated
07/08/2007
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