KURNIAWAN TEJA

PHILADELPHIA, PA
NPI1427759273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP027170)
Enumeration Date2023-03-16
Last Update Date2024-06-13
Business Address
KURNIAWAN TEJA MSN, CRNP, FNP-BC
321 W GIRARD AVE
PHILADELPHIA, PA 19123-1531
Phone number: 213-685-3800
Mailing Address
KURNIAWAN TEJA MSN, CRNP, FNP-BC
321 W GIRARD AVE
PHILADELPHIA, PA 19123-1531
Phone number: 215-685-3800
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