Wong, Bradley Daijung

Wong, Bradley Daijung is an individual health care provider with primary practice located at 550 S Beretania St Suite 501, Honolulu HI 96813-2496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wong, Bradley Daijung can be contacted via phone (808) 528-4144.

Contact Information

Primary practice address
550 S Beretania St Suite 501 Honolulu HI 96813-2496
Phone: (808) 528-4144
Fax: (808) 525-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2954 Hawaii

Profile Details

NPI number 1780625053
LBN Legal business name Wong, Bradley Daijung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780625053 NPPES
Hawaii MEDICAID 04555001

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