IWAN PRAYOGA SOFJAN

PITTSBURGH, PA
NPI1750644001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  287280)
Enumeration Date2012-06-21
Last Update Date2017-04-24
Business Address
-- IWAN PRAYOGA SOFJAN M.D.
3471 5TH AVE SUITE 910
PITTSBURGH, PA 15213-3215
Phone number: 412-692-4503
Mailing Address
-- IWAN PRAYOGA SOFJAN M.D.
3471 5TH AVE SUITE 910
PITTSBURGH, PA 15213-3215
Phone number: 412-692-4503
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