Organization
EUGENE G C WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE G C WONG M.D. (PHYSICIAN)
(808) 521-3802
Entity
Organization
Contact information
Practice address
1380 LUSITANA ST STE 814, HONOLULU, HI 96813-2444
(808) 521-3802
Mailing address
1380 LUSITANA ST STE 814, HONOLULU, HI 96813-2444
(808) 521-3802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1785
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03139301
—
HI
01
—
CO34813
HMSA
HI
Enumeration date
11/22/2006
Last updated
08/22/2020
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