Dewi S. Sudjono-santoso

NPI 1124417639 - Pediatrics - 2080A0000X

NPI Details
NPI 1124417639
Enumeration Date 01/21/2015
Last Updated 01/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DEWI S DEWI
Position OWNER
Phone (609) 918-1030
Fax (609) 918-1322
Practice Location
339 PRINCETON-HIGHTSTOWN RD
BUILDING B
CRANBURY NJ, 08512, US
Phone (609) 918-1030
Fax (609) 918-1322
Business Location
339 PRINCETON-HIGHTSTOWN RD
BUILDING B
CRANBURY NJ, 08512, US
Phone (609) 918-1030
Fax (609) 918-1322
Toxanomy
Taxonomy Code 2080A0000X
License State New Jersey
License Number MA01513300
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According to our database, Dewi S. Sudjono-santoso NPI is 1124417639, taxonomy code is 2080A0000X and license number is MA01513300, license state is located at New Jersey. Dewi S. Sudjono-santoso physically located at 339 Princeton-hightstown Rd, Cranbury NJ, 08512. NPI Number 1033115704 has the healthcare provider type.

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1124417639 NPI number is provided on an as is basis without warranty of any kind. 1124417639 is maintained by the National Plan & Provider Enumeration System. The contents of Dewi S. Sudjono-santoso are for informational purposes only.