Individual
ANDREW R. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
74-517 HONOKOHAU ST, KAILUA KONA, HI 96740-2715
(808) 334-4400
Mailing address
74-517 HONOKOHAU ST, KAILUA KONA, HI 96740-2715
(808) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-10156
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000215194
HMSA BILLING NUMBER
HI
05
—
088197-01
—
HI
Enumeration date
01/25/2007
Last updated
05/26/2021
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