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Search › Hawaii › 225700000X

Brent Fong

NPI 1699947143 · on the registry since 2008 · sole proprietor

Practice

Address
250 Ward Ave
Ste #210
Honolulu, HI 96814
Phone
(808) 542-7656
Organisation at this address
Michael B Russo Md, Inc
Douglas R. Dauterman Co., Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii