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1649280215
MINGLIARTI TJAHJANA
RESTON, VA
NPI
1649280215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101236144)
Enumeration Date
2006-08-08
Last Update Date
2016-12-09
Business Address
Dr. MINGLIARTI TJAHJANA M.D.
1850 TOWN CENTER PKWY SUITE 410
RESTON, VA 20190-3219
Phone number: 571-572-9198
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Mailing Address
Dr. MINGLIARTI TJAHJANA M.D.
12504 ALEXANDER CORNELL DR
FAIRFAX, VA 22033-2437
Phone number: 571-338-9054
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