FITRA RIANTO

BRONX, NY
NPI1558011023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-26
Last Update Date2022-03-26
Business Address
Dr. FITRA RIANTO MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-6573
Mailing Address
Dr. FITRA RIANTO MD
2725 BROWN AVE
DURHAM, NC 27705-4405
Phone number: 469-347-9297
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