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Individual

DR. CARLSON B WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2226 LILIHA ST, #303, HONOLULU, HI 96817
(808) 538-1449
(808) 538-3843
Mailing address
2226 LILIHA ST, #303, HONOLULU, HI 96817
(808) 538-1449
(808) 538-3843

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD7355
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02152601
HI
Enumeration date
10/11/2006
Last updated
07/08/2007
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