Antonius Mulia M.D.

NPI 1013985977 - Internal Medicine - 207R00000X

NPI Details
NPI 1013985977
Gender Male
Enumeration Date 03/08/2006
Last Updated 05/16/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
904 7TH AVE
SEATTLE WA, 98104-1132, US
Phone (206) 329-1760
Fax
Business Location
904 7TH AVE
SEATTLE WA, 98104-1132, US
Phone (206) 329-1760
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number MD00039455
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According to our database, Antonius Mulia M.D. NPI is 1013985977, taxonomy code is 207R00000X and license number is MD00039455, license state is located at Washington. Antonius Mulia M.D. physically located at 904 7th Ave, Seattle WA, 98104-1132. NPI Number Antonius Mulia M.D. has the Individual type.

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1013985977 NPI number is provided on an as is basis without warranty of any kind. 1013985977 is maintained by the National Plan & Provider Enumeration System. The contents of Antonius Mulia M.D. are for informational purposes only.