MICHAEL CLARENCE TJANDRAWIDJAJA

BOSTON, MA
NPI1831403674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MA  243066)
Enumeration Date2010-08-04
Last Update Date2010-08-04
Business Address
Dr. MICHAEL CLARENCE TJANDRAWIDJAJA M.D.
75 FRANCIS ST DEPT OF MEDICINE CARDIOVASCULAR DIVISION
BOSTON, MA 02115-6110
Phone number: 617-732-6660
Mailing Address
Dr. MICHAEL CLARENCE TJANDRAWIDJAJA M.D.
50 WINCHESTER ST APT 409
BROOKLINE, MA 02446-2751
Phone number: 857-445-7750