Individual
RHONALDO AGUNG SILABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Mailing address
615 JAMES ST - B04, SYRACUSE, NY 13210-2306
(310) 873-7455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
288385
NY
207P00000X
Emergency Medicine Physician
Primary
C177285
CA
207P00000X
Emergency Medicine Physician
MD461120
PA
Other
Enumeration date
05/02/2014
Last updated
10/31/2023
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