Provider Demographics
NPI:1184829558
Name:WONG, DAVID KIN MING (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KIN MING
Last Name:WONG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:550 BERETANIA ST. STE 505
Mailing Address - Street 2:HAWAII VASCULAR AND ENDOVASCULAR, INC
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-440-0544
Mailing Address - Fax:808-440-0545
Practice Address - Street 1:550 BERETANIA ST. STE 505
Practice Address - Street 2:HAWAII VASCULAR AND ENDOVASCULAR, INC
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-440-0544
Practice Address - Fax:808-440-0545
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2010-08-26
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Provider Licenses
StateLicense IDTaxonomies
IA379062086S0129X
HI158262086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery