Individual
DR. CHRISTOPHER F TENGGARDJAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, Q10-1, CLEVELAND, OH 44195-0001
(216) 444-5600
Mailing address
9500 EUCLID AVE, Q10-1, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
A100721
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2007
Last updated
11/04/2021
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