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1720021827
RITA RIAWATI GUNAWAN
SOMERSET, NJ
NPI
1720021827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: NJ MA53298)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
Dr. RITA RIAWATI GUNAWAN M.D., F.A.A.P.
650 EASTON AVE
SOMERSET, NJ 08873-1818
Phone number: 732-545-6464
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Mailing Address
Dr. RITA RIAWATI GUNAWAN M.D., F.A.A.P.
650 EASTON AVE
SOMERSET, NJ 08873-1818
Phone number: 732-545-6464
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