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Individual

ROBERT FRANCISCO WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
98-211 PALI MOMI STREET, SUITE 312, AIEA, HI 96701-4714
(808) 486-0449
(808) 488-0725
Mailing address
98-211 PALI MOMI STREET, SUITE 312, AIEA, HI 96701-4714
(808) 486-0449
(808) 488-0725

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4914614-1205
UT
207RG0100X
Gastroenterology Physician
Primary
MD 11244
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497116
HI
01
H102854
MEDICARE UPIN
HI
Enumeration date
10/16/2006
Last updated
06/10/2021
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