Individual
DR. ANTHONY TONGWON GHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15TH MDG, 755 SCOTT CIRCLE, JBPH-HICKAM, HI 96853
(808) 448-6776
(808) 448-6113
Mailing address
15TH MDG, 755 SCOTT CIRCLE, JBPH-HICKAM, HI 96853
(808) 448-6776
(808) 448-6113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8924
HI
2083A0100X
Aerospace Medicine Physician
8924
HI
Other
Enumeration date
09/08/2006
Last updated
10/02/2023
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