Individual
DR. BERT K W WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2228 LILIHA ST., SUITE 305, HONOLULU, HI 96817-1646
(808) 526-0686
(808) 526-0688
Mailing address
2228 LILIHA ST., SUITE 305, HONOLULU, HI 96817-1646
(808) 526-0686
(808) 526-0688
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3694
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01598201
—
HI
01
—
C17149
HMSA
—
Enumeration date
12/08/2006
Last updated
05/05/2010
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