ANTONIUS SUSATYO HADI

BOARDMAN, OH
NPI1033296942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: OH  35046065)
Enumeration Date2006-11-01
Last Update Date2016-12-28
Business Address
-- ANTONIUS SUSATYO HADI MD
8401 MARKET ST
BOARDMAN, OH 44512-6725
Phone number: 330-729-4350
Mailing Address
-- ANTONIUS SUSATYO HADI MD
8401 MARKET ST
BOARDMAN, OH 44512-6725
Phone number: 330-729-4350
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