JANI WIDJAJA

LAWRENCEVILLE, GA
NPI1902881287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  49221)
Enumeration Date2005-12-09
Last Update Date2022-04-06
Business Address
Dr. JANI WIDJAJA MD
1000 MEDICAL CENTER BLVD RADIOLOGY DEPT
LAWRENCEVILLE, GA 30045-7694
Phone number: 770-995-4321
Mailing Address
Dr. JANI WIDJAJA MD
PO BOX 1746
INDIANAPOLIS, IN 46206-1746
Phone number: 877-383-4442
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