Provider Demographics
NPI:1346303872
Name:COLORECTAL ASSOCIATES
Entity Type:Organization
Organization Name:COLORECTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-524-1856
Mailing Address - Street 1:1380 LUSITANA ST STE 614
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2442
Mailing Address - Country:US
Mailing Address - Phone:808-524-1856
Mailing Address - Fax:808-524-8331
Practice Address - Street 1:1380 LUSITANA ST STE 614
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2442
Practice Address - Country:US
Practice Address - Phone:808-524-1856
Practice Address - Fax:808-524-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty