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Individual

JUWONO LINDAWATI SUTEDJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21983
MT
207R00000X
Internal Medicine Physician
228744
MA
207RC0000X
Cardiovascular Disease Physician
21983
MT
207RC0000X
Cardiovascular Disease Physician
Primary
C180691
CA
207UN0901X
Nuclear Cardiology Physician
C180691
CA

Other

Enumeration date
01/24/2007
Last updated
09/18/2024
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