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1417187352
BUDIARTO RANOEWIDJOJO
NEW YORK, NY
NPI
1417187352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 253948)
Enumeration Date
2009-07-24
Last Update Date
2009-07-24
Business Address
Dr. BUDIARTO RANOEWIDJOJO D.O.
506 LENOX AVE
NEW YORK, NY 10037-1802
Phone number: 212-939-2251
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Mailing Address
Dr. BUDIARTO RANOEWIDJOJO D.O.
134 HAVEN AVE APT 3B
NEW YORK, NY 10032-1126
Phone number: 909-319-5342
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